Mr. Jack Lee Otterstrom

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Jack Lee Otterstrom
Gender:	M
Provider License Number If Given:	L5316

NPI Information:

NPI:	1922163096
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/27/2006
Last Update Date:	5/18/2017

Provider Business Mailing Address:

Address:	PO BOX 278 Woodburn, OR 97071
Phone Number:	9719835260
Fax Number:

Provider Business Practice Location Address:

Address:	250 W MARQUAM ST Mount Angel, OR 97362
Phone Number:	9719835214
Fax Number:	9719835219

Provider Taxonomy:

Primary:	101YP2500X
Secondary (if any):	1041C0700X
State:	OR

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About Mr. Jack Lee Otterstrom

Mr. Jack Lee Otterstrom (MR. JACK LEE OTTERSTROM ) is Definition Counselor Physician in Mount Angel, OR. The NPI Number for Mr. Jack Lee Otterstrom is 1922163096.

The current location address for Mr. Jack Lee Otterstrom is 250 W MARQUAM ST Mount Angel, OR 97362 and the contact number is 9719835260 and fax number is . The mailing address for Mr. Jack Lee Otterstrom is PO BOX 278 Woodburn, OR 97071- 9719835214 (mailing address contact number - 9719835260).

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Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Jack Lee Otterstrom ?

Answer: The NPI Number for Mr. Jack Lee Otterstrom is 1922163096

Where is Mr. Jack Lee Otterstrom located?

Answer: Mr. Jack Lee Otterstrom is located at 250 W MARQUAM ST Mount Angel, OR 97362.

What is the specialty for Mr. Jack Lee Otterstrom ?

Answer: The Specialty of Mr. Jack Lee Otterstrom is Definition Counselor Physician.

Are there any online reviews for Mr. Jack Lee Otterstrom ?

Answer: Not yet!

Are there any other health care providers in Mount Angel, OR?

Answer: Yes, there are given below...

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Shauna Lee Pier
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Shauna L Pier Dds Pc
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Ms. Faith L. Koschmann
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NPI Number: 1942268354
Address: 690 N MAIN ST Mount Angel, OR 97362 , Phone: 5038452000

Mr. James Edward Domst
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NPI Number: 1437107083
Address: 690 N MAIN ST Mount Angel, OR 97362 , Phone: 5038452000

Mrs. Mayda Ramos
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NPI Number: 1962450551
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Providence Health & Services - Oregon
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NPI Number: 1417978164
Address: 540 S MAIN ST Mount Angel, OR 97362 , Phone: 5038456841

Silverton Health
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NPI Number: 1528171543
Address: 250 W MARQUAM ST Mount Angel, OR 97362 , Phone: 5038452000

Mr. Jack Lee Otterstrom
Professional Counselor
NPI Number: 1922163096
Address: 250 W MARQUAM ST Mount Angel, OR 97362 , Phone: 9719835214