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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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