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Individual
DR. OLI I TRAUSTASON
Active
Individual
DR. OLI I TRAUSTASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G33242
CA
207W00000X
Ophthalmology Physician
M-6100
ID
207W00000X
Ophthalmology Physician
MD00026268
WA
207W00000X
Ophthalmology Physician
Primary
MD09829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001193
—
OR
01
—
053857009
REGENCE BCBS
OR
01
—
10283
CLEAR CHOICE
OR
01
—
180029258
RAILROAD MEDICARE
OR
01
—
200225
COIHS
OR
01
—
A009
TRIWEST CHAMPUS
OR
Enumeration date
08/09/2005
Last updated
01/22/2013
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