DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL A LATUSICK, RRT

Active

2279P3900X · GRANTS PASS, OR

Registration Details

NPI Number
1821180126
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2006 (19.565127799986 yrs)
Last Updated
Sep 11, 2025
Licenses
RTP000581 (OR)
RTP000581 (OR)
RTP000581 (OR)
RTP000581 (OR)
RTP000581 (OR)

Practice Information

Address
500 RAMSEY AVE
GRANTS PASS, OR, 975275554
Browse OR providers · Browse ZIP 97527
Phone
5414727000
Primary Specialty
2279P3900X
2279P3900X
Additional Specialty
2279C0205X
Additional Specialty
2279E0002X
Additional Specialty
2279G0305X
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.