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Individual

SEAN J TRAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1170 ROYAL AVE, MEDFORD, OR 97504-6101
(541) 779-7331
(541) 779-3522
Mailing address
1170 ROYAL AVE, MEDFORD, OR 97504-6101
(541) 779-7331
(541) 779-3522

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD18471
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040012281
RAILROAD MEDICARE
OR
05
151129
OR
Enumeration date
07/13/2006
Last updated
03/16/2012
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