Individual
FRED D OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 418-6001
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00035764
WA
207N00000X
Dermatology Physician
MD18927
OR
Other
Enumeration date
09/04/2006
Last updated
07/12/2007
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