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Active NPI 1710208962 Organization (Entity Type 2)

Thomas D Utterback, Md, Pc

Specialist • Canby, OR

About Thomas D Utterback, Md, Pc NPI 1710208962 Summary

Thomas D Utterback, Md, Pc is a verified healthcare organization specializing in Specialist operating in Canby, OR. Located at 8051 S LONE ELDER RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1710208962.

Administrative operations and authorized compliance are overseen by Thomas Utterback (Doctor).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

8051 S Lone Elder Rd

Canby, OR 970139127

Telephone 5032632400

Authorized Official Information

Authorized Contact Name

DR. Thomas Utterback , M.D.

Title / Role

Doctor

Official Telephone

5032362400

Facility Classifications & Specialties

Specialist Primary Taxonomy

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Orthopaedic Surgery

Canby, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 22, 2010

Registered at 8051 S LONE ELDER RD, CANBY, OR 970139127 (Tel: 5032632400)

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Updated Business Mailing Address June 22, 2010

Registered at PO BOX 942, CANBY, OR 970130942 (Tel: 5032632400)

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Organization / Clinic Name Updated June 22, 2010

Operating as THOMAS D UTTERBACK, MD, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2010

Specialist (License #MD07612 in OR)

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Initial NPI Registration & Enumeration June 22, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1710208962
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 22, 2010
Last Update: June 22, 2010

Mailing Address

Po Box 942

Canby, OR 970130942

Phone: 5032632400

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.