Otterstrom, Jeri Lynn
Otterstrom, Jeri Lynn is an sole proprietor health care provider with primary practice located at 1000 River Rd , Eugene OR 97404-3230. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Otterstrom, Jeri Lynn can be contacted via phone (541) 688-1569.Contact Information
Primary practice address
1000 River Rd
Eugene OR 97404-3230
Phone: (541) 688-1569
Fax: (541) 461-6884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1162 | Oregon |
Profile Details
| NPI number | 1013040526 |
|---|---|
| LBN Legal business name | Otterstrom, Jeri Lynn |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Oct 14th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013040526 | NPPES |
| Oregon | MEDICAID | 229346 | |
| Oregon | Other | 43-1986773 |
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