Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Dutton, PA-C

Individual provider Physician Assistant · NPI 1023369030

Ryan Dutton, PA-C is a Physician Assistant in Klamath Falls, Oregon. Qualified in 2012, 14 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
14
Licensed in
AZ, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3001 Daggett Ave Ste 101
Klamath Falls, OR 97601-1126
Phone: (541) 274-3278
Fax: (541) 274-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 — (541) 706-6915

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA170495 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 5236 (AZ)

Record details

NPI number1023369030
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2012
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing addressPo Box 2120, Portland, OR 97208-2120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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