Individual
ANN OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
527 NE BELLEVUE DR STE 200, BEND, OR 97701-8744
(541) 640-7243
(541) 645-7243
Mailing address
2660 NE HIGHWAY 20 SUITE 610 #524, BEND, OR 97701-4858
(541) 762-2727
(541) 645-7243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202212407NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
2022124070NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
2022124070NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
2022124070NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812411
—
OR
Enumeration date
10/03/2022
Last updated
11/14/2024
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