ERIC DONALD OTTENBACHER

LONGVIEW, WA
NPI1952308967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004156)
Enumeration Date2005-07-05
Last Update Date2007-07-09
Business Address
ERIC DONALD OTTENBACHER PA
1615 DELAWARE ST
LONGVIEW, WA 98632-2310
Phone number: 360-414-2385
Mailing Address
ERIC DONALD OTTENBACHER PA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2048
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