Active NPI
Donald R. Olson, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dundee, OR
National Provider Identifier
1760419634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD14697
- Practice address
- 18365 NE Fairview Dr
Dundee, OR 97115-9112 - Phone
- (503) 554-8016
- Fax
- (503) 554-8474
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD14697 | OR | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD14697 | OR | Primary |
Addresses
Primary practice location
18365 NE Fairview Dr
Dundee, OR 97115-9112
Mailing address
18365 NE Fairview Dr
Dundee, OR 97115-9112
Phone (503) 554-8016
Other names 1
- Donald R. Olson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061025000727 | OR | Practitioner - Pain Management | 2769475318 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14697 | OR | MD | Neurological Surgery Physician |
| 14697 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients |
Locations
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1760419634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18365 NE FAIRVIEW DR",
"city": "DUNDEE",
"state": "OR",
"postal_code": "971159112",
"telephone_number": "503-554-8016",
"fax_number": "503-554-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18365 NE FAIRVIEW DR",
"city": "DUNDEE",
"state": "OR",
"postal_code": "971159112",
"telephone_number": "503-554-8016",
"fax_number": "503-554-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DONALD",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD14697",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OR",
"license": "MD14697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONALD",
"last_name": "OLSON",
"middle_name": "R.",
"credential": "MD MBA FACS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dundee, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.