Individual
DR. EMELIA DG HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
3033 NE 32ND AVE, PORTLAND, OR 97212-3619
(541) 913-2171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124132
NBCRNA
—
01
—
201341336RN
OSBN, RN
OR
Enumeration date
08/22/2019
Last updated
07/16/2022
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