1215154232 NPI number — MS. KAREN JANE OLSON CFNP-APRN

Table of content: MS. KAREN JANE OLSON CFNP-APRN (NPI 1215154232)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215154232 NPI number — MS. KAREN JANE OLSON CFNP-APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLSON
Provider First Name:
KAREN
Provider Middle Name:
JANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CFNP-APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OLSON-FIELDS
Provider Other First Name:
KAREN
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CFNP APRN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1215154232
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
913 11TH ST SE
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
BANDON
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
514-329-0114
Provider Business Mailing Address Fax Number:
541-824-0463

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
913 11TH ST SE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
BANDON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
514-329-0114
Provider Business Practice Location Address Fax Number:
541-824-0463
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  2250634405 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 095006649N1 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 77045 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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