ULRIKE ELIZABETH OTTENBREIT

ROSEBURG, OR
NPI1720448731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  02-03-39)
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
Mrs. ULRIKE ELIZABETH OTTENBREIT CADCII,CGACT
548 SE JACKSON ST
ROSEBURG, OR 97470-2709
Phone number: 541-672-2691
Mailing Address
Mrs. ULRIKE ELIZABETH OTTENBREIT CADCII,CGACT
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691