# DR. OLI I TRAUSTASON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023019502
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G33242 | CA | — |
| 207W00000X | Ophthalmology Physician | M-6100 | ID | — |
| 207W00000X | Ophthalmology Physician | MD00026268 | WA | — |
| 207W00000X | Ophthalmology Physician | MD09829 | OR | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 01/22/2013

## 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 |