Individual
ANN OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3350 NE MANCHESTER CT, BEND, OR 97701-8360
(541) 640-7243
(541) 645-7243
Mailing address
2660 NE HIGHWAY 20 STE 610, BEND, OR 97701-6403
(541) 762-2727
(541) 645-7243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
20140455RN
OR
163WW0000X
Wound Care Registered Nurse
20140455RN
OR
163WX1500X
Ostomy Care Registered Nurse
20140455RN
OR
2083X0100X
Occupational Medicine Physician
Primary
202212407NP-PP
OR
363L00000X
Nurse Practitioner
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
06/15/2026
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