Individual
JEFFREY P OTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195-0001
(206) 543-0065
Mailing address
1959 NE PACIFIC ST, RR215, BOX 357115, SEATTLE, WA 98195-0001
(206) 543-3320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML20008465
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60028876
WA
Other
Enumeration date
08/12/2006
Last updated
09/25/2008
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