Individual
ERIC MAGNUS OTTESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3350 NE MANCHESTER CT, BEND, OR 97701-8360
(458) 206-5040
Mailing address
2660 NE HIGHWAY 20 STE 610, #524, BEND, OR 97701-6403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200441057RN
OR
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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