Individual
JAY HUTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N 5TH ST STE A, JACKSONVILLE, OR 97530-9659
(541) 899-9194
(541) 899-1519
Mailing address
413 S CENTRAL VALLEY DR, CENTRAL POINT, OR 97502-1511
(541) 899-9194
(541) 899-1519
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-T-10126936
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212936
—
OR
Enumeration date
09/15/2008
Last updated
09/15/2008
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