Healthcare Provider Details

I. General information

NPI: 1700732559
Provider Name (Legal Business Name): JANA DALE OLSON SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 E HIGHWAY 61
ESKO MN
55733-9629
US

IV. Provider business mailing address

PO BOX 10
ESKO MN
55733-0010
US

V. Phone/Fax

Practice location:
  • Phone: 218-879-3361
  • Fax: 218-878-1668
Mailing address:
  • Phone: 218-879-3361
  • Fax: 218-878-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5886
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: