Individual
BETTY OERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 PIN OAK LN, SLATINGTON, PA 18080-1108
(610) 739-8654
Mailing address
1340 PIN OAK LN, SLATINGTON, PA 18080-1108
(610) 739-8654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC004016L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC114016L
OT
PA
Enumeration date
01/26/2010
Last updated
01/26/2010
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