Individual
STEPHANIE OTTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 992-3030
Mailing address
5771 SCHORNBUSH RD, DEMING, WA 98244-9222
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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