MISS Joelle Renee Otterstedt

NPI #1326507898 in Hillsboro, Oregon

Provider Information

NPI Number: 1326507898
Entity Type: Individual
Name: MISS Joelle Renee Otterstedt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 14, 2019
Last Updated: Mar 14, 2019

Practice Location

Address: 400 E MAIN ST STE 180
City: Hillsboro
State: Oregon
ZIP Code: 97123-4161
Phone: (971) 762-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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