Provider Demographics
NPI:1831348614
Name:HUTCHINS, PHILLIP MAURICE (MD)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:MAURICE
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78068 ORDNANCE RD
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-9107
Mailing Address - Country:US
Mailing Address - Phone:541-564-7369
Mailing Address - Fax:541-564-7303
Practice Address - Street 1:78068 ORDNANCE RD
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-9107
Practice Address - Country:US
Practice Address - Phone:541-564-7369
Practice Address - Fax:541-564-7303
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD238572083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine