Individual
DR. TARA OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 587-4432
(406) 587-7015
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
132241
MT
Other
Enumeration date
04/01/2016
Last updated
05/01/2024
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