Individual provider Active NPI

Karl H Olson, MD

  • Family Medicine Physician
  • Davenport, WA
National Provider Identifier
1508846353
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
IMLC.MD.60836781 Issued in WA
Practice address
10 Nicholls St
Davenport, WA 99122-9729
Phone
(509) 725-7501
Fax
(509) 725-7504
NPI assigned
Jan 18, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IMLC.MD.60836781 WA Primary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-60804 MT

Addresses

Primary practice location

10 Nicholls St
Davenport, WA 99122-9729

Mailing address

12285 E Highway 20
Mountain Home, ID 83647-5317
Phone (208) 863-5988

Other identifiers 1

IdentifierTypeStateIssuer
1012030MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817001588 WA Practitioner - Emergency Medicine 1456439546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Hospital District 3Group PAC ID 3971591199, shared by 5 NPIs, 21 clinicians

Practice addresses (Care Compare)

10 Nicholls St
Davenport, WA 99122-9729

10 Nicholls St
Davenport, WA 99122-9730
Phone (509) 725-7501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M 6548IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital District #3 / North Basin Medical Clinics Family Medicine CurrentSince May 1, 2022 Accepting new patients
Lincoln County Hospital District 3 Family Medicine Current Accepting new patients
Lincoln County Hospital District #3 CurrentSince May 1, 2022 Accepting new patients
Lincoln County Hospital District #3 Family Medicine CurrentSince May 1, 2022 Accepting new patients
Elmore Medical Center Past Accepting new patients
Elmore Medical Center Specialty Physician Group Past Accepting new patients
Idaho Emergency Physicians, P.a. PastSince Dec 1, 2011 Accepting new patients
Elmore Medical Center Hospital District Family Medicine Past Accepting new patients

Locations

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1508846353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 E HIGHWAY 20",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475317",
            "telephone_number": "208-863-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NICHOLLS ST",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229729",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "IMLC.MD.60836781",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-60804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012030",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, WA

Sources for this page

Verify at the official NPI Registry.