Individual
CARLIN D. UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD126309
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000ZGBDG
CURRY GEN. HOSP./BROOKINGS MED. CTR PART B
OR
01
—
381322
CURRY GENERAL HOSPITAL PART A
OR
05
—
500611363
—
OR
01
—
93-0937095
CURRY HEALTH DISTRICT TAX ID
OR
Enumeration date
07/26/2006
Last updated
03/07/2023
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