Kenneth F Otten

NPI #1326724741 in Ridgefield, Washington

Provider Information

NPI Number: 1326724741
Entity Type: Individual
Name: Kenneth F Otten
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 22, 2023
Last Updated: Jun 22, 2023

Practice Location

Address: 21810 NE 37TH AVE
City: Ridgefield
State: Washington
ZIP Code: 98642-7747
Phone: (844) 777-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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