Otto, Heidi Louisa

Otto, Heidi Louisa is an individual health care provider with primary practice located at 5624 Sw Brugger St , Portland OR 97219-4904. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Psychiatric/Mental Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Otto, Heidi Louisa can be contacted via phone (503) 245-2961.

Contact Information

Primary practice address
5624 Sw Brugger St Portland OR 97219-4904
Phone: (503) 245-2961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X Oregon

Profile Details

NPI number 1316092760
LBN Legal business name Otto, Heidi Louisa
Credentials RN, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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