Healthcare Provider Details

I. General information

NPI: 1770017295
Provider Name (Legal Business Name): LINDA MARIE HUTCHINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SW LEE ST
NEWPORT OR
97365-3823
US

IV. Provider business mailing address

1297 BOONE RD S
SALEM OR
97306-2054
US

V. Phone/Fax

Practice location:
  • Phone: 541-574-5960
  • Fax: 541-265-0601
Mailing address:
  • Phone: 503-409-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number093003212RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: