Individual
MICHELLE YVONNE LOPERA-OTTENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2880 NW STEWART PKWY STE 200, SUITE 203, ROSEBURG, OR 97471-1204
(541) 673-0496
(541) 673-5794
Mailing address
2880 NW STEWART PKWY STE 200, SUITE 203, ROSEBURG, OR 97471-1204
(541) 673-0496
(541) 673-5794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00810
OR
Other
Enumeration date
07/15/2008
Last updated
04/22/2014
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