Collette Luttmer, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD21382 Issued in OR

Legal business name

COLLETTE LUTTMER, MD, PC

Practice address

714 NW 5TH St
Grants Pass, OR 97526-1529

Phone

(541) 244-2292

Fax

(541) 244-1512

NPI assigned

Jan 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Collette Marie Luttmer, MD

Title

President/Owner

Phone

(541) 244-2292

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1992042121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-2292",
            "fax_number": "541-244-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-2292",
            "fax_number": "541-244-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETTE LUTTMER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "LUTTMER",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "541-244-2292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.