Individual
CRAIG HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0000185764
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
201404024NP-PP
OR
Other
Enumeration date
06/11/2014
Last updated
12/20/2021
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