NPI 1699787655 · live from the CMS NPI Registry
Mical Thomas Dutson, NP
Registered Nurse, General Practice in Roseburg, OR. National Provider Identifier 1699787655, active.
NPI record
| NPI | 1699787655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 913 Nw Garden Valley Blvd, Roseburg, OR 97470 |
| Practice phone | 541-440-1000 |
| Mailing address | Po Box 716, Wilbur, OR 97494 |
| Enumerated | August 11, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 094006089RN RN (OR) |
| General Acute Care Hospital | 282N00000X | 094006089N1 FNP-PP (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.