Individual
DR. JEFFREY A. LUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 ROWE RD, WHEELER, OR 97147-0035
(503) 368-5182
(503) 368-5590
Mailing address
17710 SW VINCENT ST, ALOHA, OR 97078-1782
(503) 314-4059
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD155853
OR
Other
Enumeration date
10/18/2006
Last updated
10/19/2015
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