Otter, Jenna

Otter, Jenna is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Otter, Jenna can be contacted via phone (503) 494-7551.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-7551
Fax: (503) 494-4997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD197719 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A154514 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MT298926 Pennsylvania
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X MD197719 Oregon

Profile Details

NPI number 1295116671
LBN Legal business name Otter, Jenna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Oct 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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