Individual
MR. TIMOTHY ALAN TRAUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1120 MILL ST., SUITE 2, WALDPORT, OR 97394-0461
(541) 563-5080
(541) 563-5090
Mailing address
PO BOX 461, 1120 MILL ST. SUITE 2, WALDPORT, OR 97394-0461
(541) 563-5080
(541) 563-5090
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
81001709
OR
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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