Individual
KAYLA OTTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1675 COBURG RD, EUGENE, OR 97401-4854
(541) 334-0015
(541) 344-4946
Mailing address
1099 ANDERSON LN, SPRINGFIELD, OR 97477-7682
(701) 367-8542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013362
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ORRPH0013362
OR
Other
Enumeration date
10/30/2012
Last updated
07/16/2016
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