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:
Health care specialties
| Specialty | Code | License # | 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 4 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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