Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Olson, MD

Individual provider Specialist · NPI 1417041591

Theodore Olson, MD is a Specialist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

196 Sotoyome St
Santa Rosa, CA 95405-4800
Phone: (707) 528-0565
Fax: (707) 528-6403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A212232 (CA)

Record details

NPI number1417041591
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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