Individual
LOTTIE RENEE ROTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 465-5461
(503) 465-5468
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
022302
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871792580
—
WA
05
—
234892
—
OR
Enumeration date
07/12/2007
Last updated
11/17/2021
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