Individual
JOHN OTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CADCIII
Contact information
Practice address
6600 SW 105TH AVE, SUITE 120, BEAVERTON, OR 97008-8832
(503) 867-1259
(503) 867-1259
Mailing address
2073 SW PARK AVE, 216, PORTLAND, OR 97201-3122
(503) 867-1259
(503) 867-1259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
C4480
OR
Other
Enumeration date
06/25/2015
Last updated
04/20/2017
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