# MICAL THOMAS DUTSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699787655
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | OR | Yes |
| 282N00000X | General Acute Care Hospital | 094006089N1 FNP-PP | OR | — |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 09/11/2025