Individual
ALLEN DEAN BOTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
83010 HUNGRY HILL, CRESWELL, OR 97426
(541) 915-5819
(541) 895-2636
Mailing address
P.O. BOX 36, 83010 HUNGRY HILL, CRESWELL, OR 97426
(541) 915-5819
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201041846RN
OR
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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