Individual
DR. JEFFERY OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11631 SW AUKLET LOOP, BEAVERTON, OR 97007-6539
(503) 351-0221
Mailing address
11631 SW AUKLET LOOP, BEAVERTON, OR 97007-6539
(503) 351-0221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3610
OR
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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