Keevn Otte

NPI #1912250739 in Forest Grove, Oregon

Provider Information

NPI Number: 1912250739
Entity Type: Individual
Name: Keevn Otte
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 17, 2012
Last Updated: Jan 31, 2013

Practice Location

Address: 2043 COLLEGE WAY
City: Forest Grove
State: Oregon
ZIP Code: 97116
Phone: (612) 481-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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