Doctor Name: | DOROTHY JOY DUTTON |
NPI Number: | 1043314271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, CNM |
License Number: | 200150025NP NMNP-PP |
Business Practice Address: | 94125 4th Street Gold Beach, OR - 97444 |
Business Phone Number: | 5412476628 |
Business Fax Number: | 5412476629 |
Mailing Address: | Po Box 1215, 94125 4th Street GOLD BEACH |
State: | OR |
Postal Code: | 974441215 |
Phone Number: | 5412476628 |
Fax Number: | 5412476629 |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 200150025NP NMNP-PP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |