Individual
HEATHER ROSE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PMHNP-BC
Contact information
Practice address
1500 NE IRVING ST STE 210, PORTLAND, OR 97232-2243
(425) 477-4215
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3821
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10048385
OR
Other
Enumeration date
08/05/2025
Last updated
02/11/2026
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