DR. Randy E Otteson, DMD

NPI #1073621355 in Portland, Oregon

Provider Information

NPI Number: 1073621355
Entity Type: Individual
Name: DR. Randy E Otteson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5312 SE 52ND AVE
City: Portland
State: Oregon
ZIP Code: 97206
Phone: (503) 775-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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