Individual
ELIZABETH DIANE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1405 FRASER ST STE F-101, BELLINGHAM, WA 98229-5886
(360) 224-4179
Mailing address
8504 CEDAR CT, LYNDEN, WA 98264-9599
(360) 224-4179
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC61605847
WA
Other
Enumeration date
09/26/2024
Last updated
02/01/2025
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