Individual
MS. MICHAL OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
4296881
AZ
103TS0200X
School Psychologist
Primary
515097
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215242664
—
AZ
Enumeration date
08/10/2010
Last updated
08/25/2025
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