Individual
PERNILLE OTTOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Mailing address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19692
HI
207Q00000X
Family Medicine Physician
MD60463242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648718100
—
MN
Enumeration date
07/09/2006
Last updated
11/09/2022
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