Otto John

NPI #1285311407 in Siletz, Oregon

Provider Information

NPI Number: 1285311407
Entity Type: Individual
Name: Otto John
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 200 GWEE SHUT RD
City: Siletz
State: Oregon
ZIP Code: 97380-2036
Phone: (541) 444-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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