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Individual

DR. OLI I TRAUSTASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1775 SW UMATILLA AVE, REDMOND, OR 97756-7197
(541) 548-7170
(541) 548-3842
Mailing address
1775 SW UMATILLA AVE, REDMOND, OR 97756-7197
(541) 548-7170
(541) 548-3842

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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