Individual provider Active NPI

Deanna K Olson, MD

  • Surgery Physician
  • Milwaukie, OR
National Provider Identifier
1740274083
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD17140 Issued in OR
Practice address
3250 SE Llewellyn St
Milwaukie, OR 97222-6544
Phone
(503) 353-0888
Fax
(503) 653-5060
NPI assigned
Sep 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD17140 OR Primary

Addresses

Primary practice location

3250 SE Llewellyn St
Milwaukie, OR 97222-6544

Mailing address

3250 SE Llewellyn St
Milwaukie, OR 97222-6544
Phone (503) 353-0888

Other identifiers 1

IdentifierTypeStateIssuer
028519MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170403001365 OR Practitioner - General Surgery 4981863784 Practice locations: Milwaukie, OR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17140ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740274083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 SE LLEWELLYN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226544",
            "telephone_number": "503-353-0888",
            "fax_number": "503-653-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 SE LLEWELLYN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226544",
            "telephone_number": "503-353-0888",
            "fax_number": "503-653-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DEANNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD17140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028519",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.