Individual provider Active NPI

John C Olson, MD

  • Addiction Medicine (Family Medicine) Physician
  • Seattle, WA
National Provider Identifier
1679512487
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD00039345 Issued in WA
Practice address
1600 E Olive St
Seattle, WA 98122-2735
Phone
(206) 901-2000
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039345 WA
General Practice Physician 208D00000X MD00039345 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD00039345 WA Primary

Addresses

Primary practice location

1600 E Olive St
Seattle, WA 98122-2735

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000

Other practice location 1

1629 N 45th St
Seattle, WA 98103-6701
Phone (206) 633-3350

Other practice location 2

200 S 2nd St
Renton, WA 98057-2011
Phone (425) 266-7039

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
I20040417000495 WA Practitioner - Addiction MedicinePractitioner - Family Practice 0042205106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SoundGroup PAC ID 1759282197, 50 clinicians

Practice addresses (Care Compare)

4240 Auburn Way N
Auburn, WA 98002-1311
Phone (253) 876-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00039345WAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Dec 26, 2010 Accepting new patients
Sound CurrentSince Sep 5, 2020 Accepting new patients
Healthpoint CurrentSince Oct 31, 2019 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Dec 26, 2010 Accepting new patients
Neighborcare Health Current Accepting new patients
Healthpoint CurrentSince Oct 31, 2019 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Highline Medical Group Inc Family Medicine Past Accepting new patients

Locations

4240 Auburn Way N
Auburn, WA 98002
Phone (253) 876-8900

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

11000 Lake City Way NE
Seattle, WA 98125
Phone (206) 461-3614

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

10030 SW 210th St
Vashon, WA 98070
Phone (206) 463-3671

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1679512487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SOUTHCENTER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882547",
            "telephone_number": "206-901-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-901-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 N 45th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981036701",
            "country_code": "US",
            "telephone_number": "206-633-3350",
            "fax_number": "206-633-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572011",
            "country_code": "US",
            "telephone_number": "425-266-7039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039345",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00039345",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00039345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.