Individual
JODIE OLTMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-3480
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00045178
WA
208000000X
Pediatrics Physician
Primary
MD25923
OR
Other
Enumeration date
09/23/2006
Last updated
07/17/2007
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