RANDY E OTTESON

PORTLAND, OR
NPI1073621355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  6192)
Enumeration Date2006-08-28
Last Update Date2007-07-08
Business Address
Dr. RANDY E OTTESON DMD
5312 SE 52ND AVE
PORTLAND, OR 97206
Phone number: 503-775-7117
Mailing Address
Dr. RANDY E OTTESON DMD
5312 SE 52ND AVE
PORTLAND, OR 97206
Phone number: 503-775-7117
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