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Individual

MARC CHRISTOPHER TRAUTMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4947
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(844) 760-0526

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222661
OR
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500848722
OR
Enumeration date
09/11/2024
Last updated
02/24/2026
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