Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICAL THOMAS DUTSON, NP
Active Sole ProprietorMICAL THOMAS DUTSON, NP is a General Practice Nurse healthcare provider located in ROSEBURG, Oregon. NPI 1699787655 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · ROSEBURG, OR
Registration Details
- NPI Number
- 1699787655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.030954838907 yrs)
- Last Updated
- Sep 11, 2025
- License
-
094006089N1 FNP-PP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
913 NW GARDEN VALLEY BLVDROSEBURG, OR, 974706523Browse OR providers · Browse ZIP 97470
- Phone
- 5414401000
- Primary Specialty
-
General Practice Nurse
163WG0000X
- Additional Specialty
- General Practice Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.