SearchOregonGeneral Practice Dentistry

Randy Otteson, DMD

NPI 1073621355 · on the registry since 2006

Practice

Address
5312 Se 52nd Ave
Portland, OR 97206
Phone
(503) 775-7117
Fax
(503) 775-7045

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon