Individual
ANDREA LYNN OTKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
925 COMMERCIAL ST SE STE 260, SALEM, OR 97302-4288
(503) 391-9222
Mailing address
795 PIEDMONT AVE NW, SALEM, OR 97304-4308
(727) 265-0804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5644
OR
Other
Enumeration date
06/17/2015
Last updated
06/13/2016
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