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Contact Information

DOROTHY J DUTTON, FNP, CNM
94125 4TH STREET
GOLD BEACH, OR97444
 Phone: 541-247-6628
 Fax: 541-247-6629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DOROTHY J DUTTON · (Female)

NPI Number 1043314271
Status Active
Credentials FNP, CNM
Entity Individual
Enumeration date 09/08/2006
Last updated 04/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200150025NP NMNP-PP
  • OR License # 200650112NP FNP-PP
  • OR Medicaid 278504
  • OR Other P00420229 RAILROAD MEDICARE
  • OR Other 891095002 REGENCE BLUECROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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