Healthcare Provider Details

I. General information

NPI: 1174844815
Provider Name (Legal Business Name): ERIK JOSEPH OLSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY STE 90075
RENO NV
89502-1464
US

IV. Provider business mailing address

75 PRINGLE WAY STE 900
RENO NV
89502-1464
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-6270
  • Fax: 775-982-6271
Mailing address:
  • Phone: 775-982-6270
  • Fax: 775-982-6271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD460329
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number27394
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA117385
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberA117385
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA117835
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: