DR. Kelly Otto, D.C.

NPI #1144475302 in Tigard, Oregon

Provider Information

NPI Number: 1144475302
Entity Type: Individual
Name: DR. Kelly Otto, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 9735 SW SHADY LN STE 303
City: Tigard
State: Oregon
ZIP Code: 97223-5481
Phone: (503) 684-1273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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