Dutton, Ryan

Dutton, Ryan is an individual health care provider with primary practice located at 3001 Daggett Ave Ste 101 , Klamath Falls OR 97601-1126. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Dutton, Ryan can be contacted via phone (541) 274-3278.

Contact Information

Primary practice address
3001 Daggett Ave Ste 101 Klamath Falls OR 97601-1126
Phone: (541) 274-3278
Fax: (541) 274-3275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5236 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA170495 Oregon

Profile Details

NPI number 1023369030
LBN Legal business name Dutton, Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Nov 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023369030 NPPES
Arizona MEDICAID 753034

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