Matthew Olsen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013250 Issued in OR

Practice address

4040 SE High School Dr
Lincoln City, OR 97367-1620

Phone

(541) 996-2136

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1891540944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 SE HIGH SCHOOL DR",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973671620",
            "telephone_number": "541-996-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SE HIGH SCHOOL DR",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973671620",
            "telephone_number": "541-996-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MATTHEW",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "013250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oceanlake Veterinary Clinic, PC
• Heather Bentley Offenstein, MD
• Lesley Jill Ogden, M.D.
• Erling Johannes Oksenholt, D.O.
• Robert L. Oksenholt, D.O.
• Open Minds Counseling and Hypnotherapy
• Karl Douglas Ordelheide, MD
• Oregon Endodontics
• Oregon Urology Clinic, P.C.
• Darell Dean Orton, M.D.

• Speech-Language Pathologist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.