THOMAS D. UTTERBACK, MD, PC
Medical Practice at Lone Elder Rd, Barlow, OR

License number
Oregon ORMD07612
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: THOMAS D UTTERBACK M.D.
Title: PRESIDENT
Phone: (503) 684-1830
Address
Address
8051 S Lone Elder Rd, Barlow, OR 97013
National Provider ID: 1619386133
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS D. UTTERBACK, M.D., PC

Barlow, OR

Registration:
Jun 21, 1984
Addresses:
8051 Lone Elder Rd Not For Mail Or Publication, Canby, OR 97013 (Physical)
PO Box 942, Canby, OR 97013 (Mailing)
State ID:
20109518
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
James F. Ambrose, Pc,1 Sw Columbia STE 850, Portland, OR 97258 (Physical)

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