Individual
KENNETH F OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21810 NE 37TH AVE, RIDGEFIELD, WA 98642-7747
(844) 777-9242
Mailing address
PO BOX 1299, BATTLE GROUND, WA 98604-1299
(844) 777-9242
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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