Individual
DR. JERI LYNN OTTERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1000 RIVER RD, EUGENE, OR 97404-3230
(541) 688-1569
(541) 461-6884
Mailing address
1000 RIVER RD, EUGENE, OR 97404-3230
(541) 688-1569
(541) 461-4884
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229346
—
OR
01
—
43-1986773
TAX ID
OR
Enumeration date
03/13/2007
Last updated
10/14/2014
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