Individual
JESSAMY J OTTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 WESTGATE BLDG 1, PENDLETON, OR 97801-9613
(541) 276-6330
(541) 276-6295
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200841988RN
OR
Other
Enumeration date
02/05/2018
Last updated
03/17/2018
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