Traustason, Oli I

Traustason, Oli I is an sole proprietor health care provider with primary practice located at 1775 Sw Umatilla Ave , Redmond OR 97756-7197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Traustason, Oli I can be contacted via phone (541) 548-7170.

Contact Information

Primary practice address
1775 Sw Umatilla Ave Redmond OR 97756-7197
Phone: (541) 548-7170
Fax: (541) 548-3842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD09829 Oregon
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00026268 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-6100 Idaho
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G33242 California

Profile Details

NPI number 1023019502
LBN Legal business name Traustason, Oli I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jan 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023019502 NPPES
Oregon Other 10283 CLEAR CHOICE
Oregon Other A009 CLEAR CHOICE
Oregon MEDICAID 001193 CLEAR CHOICE
Oregon Other 200225 CLEAR CHOICE
Oregon Other 053857009 CLEAR CHOICE
Oregon Other 180029258 CLEAR CHOICE

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