Healthcare Provider Details

I. General information

NPI: 1215154232
Provider Name (Legal Business Name): KAREN JANE OLSON CFNP-APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN JANE OLSON-FIELDS CFNP APRN

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 11TH ST SE SUITE 1
BANDON OR
97411
US

IV. Provider business mailing address

913 11TH ST SE SUITE 1
BANDON OR
97411
US

V. Phone/Fax

Practice location:
  • Phone: 514-329-0114
  • Fax: 541-824-0463
Mailing address:
  • Phone: 514-329-0114
  • Fax: 541-824-0463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2250634405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number095006649N1
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: