Individual
ROBERT L. OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2515 S.E. 179TH AVE., PORTLAND, OR 97236-1035
(503) 761-5610
(503) 761-9072
Mailing address
2515 S.E. 179TH AVE., PORTLAND, OR 97236-1035
(503) 761-5610
(503) 761-9072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4075
OR
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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