Organization
THOMAS D UTTERBACK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D UTTERBACK M.D. (DOCTOR)
(503) 236-2400
Entity
Organization
Contact information
Practice address
8051 S LONE ELDER RD, CANBY, OR 97013-9127
(503) 263-2400
Mailing address
PO BOX 942, CANBY, OR 97013-0942
(503) 263-2400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07612
OR
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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