Individual provider Active NPI

Donald R. Olson, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dundee, OR
National Provider Identifier
1760419634
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD14697 Issued in OR
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

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000727 OR Practitioner - Pain ManagementPractitioner - Neurosurgery 2769475318 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14697ORMDNeurological Surgery Physician
14697ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Mar 1, 2015 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Mar 1, 2015 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.

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

Verify at the official NPI Registry.