IndividualActive
Mical Dutson, NP
NPI 1699787655 · General Practice Registered Nurse · Roseburg, OR
Provider details
- NPI number
- 1699787655
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 094006089N1 FNP-PP (OR)
Specialties & taxonomies
Nursing Service Providers
Hospitals
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97470-6523
Phone: (541) 440-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 716
Wilbur, OR 97494-0716
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.