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Individual

DR. CHRIS OLAF GUSTAFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4404
(502) 587-4156
Mailing address
PO BOX 35147, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
258492
NY
207L00000X
Anesthesiology Physician
Primary
57886
KY
207L00000X
Anesthesiology Physician
MD28282
OR
207L00000X
Anesthesiology Physician
TP347
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242401
OR
05
300073407
IN
05
7100881680
KY
05
8515660
WA
01
P00636102
RR MEDICARE
OR
Enumeration date
06/10/2008
Last updated
09/15/2025
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