Individual provider · Type 1 NPI
Timothy Alan Trautman, ANP
Adult Health Nurse Practitioner · Waldport, OR
NPI number
1689798118
Active
Practice location
1120 Mill St., Suite 2
Waldport, OR 97394-0461
Fax (541) 563-5090
Mailing address
PO Box 461, 1120 Mill St. Suite 2
Waldport, OR 97394-0461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 81001709 (OR) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1689798118
Timothy Alan Trautman, ANP's National Provider Identifier is 1689798118, issued on Mar 19, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Waldport, OR. The record was last updated on Jul 8, 2007.