Jeffery Otto is a Chiropractor in Beaverton, Oregon. Jeffery Otto practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffery Otto is 1811153687. The last update date is 2008-07-31.
Jeffery Otto's current location address is 11631 Sw Auklet Loop, Beaverton, Oregon. You can contact this provider via phone number 5033510221. The mailing address for Jeffery Otto is 11631 Sw Auklet Loop, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Otto |
|---|---|
| Address | 11631 Sw Auklet Loop, Beaverton, Oregon |
| Phone Number | 5033510221 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1811153687 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 11631 Sw Auklet Loop |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970076539 |
| Phone Number | 5033510221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3610 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Jeffery Otto by the Centers for Medicare & Medicaid Services?
The Jeffery Otto has been issued the NPI (National Provider Identifier) 1811153687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffery Otto?
The Jeffery Otto is situated at 11631 Sw Auklet Loop, in the city of Beaverton, state of OR, with the zip code 970076539.
What is the Jeffery Otto's area of specialization and corresponding taxonomy classification?
The Jeffery Otto's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When was the Jeffery Otto's 1811153687 issued?
The Jeffery Otto's 1811153687 was issued on 2008-07-31.
When was the information pertaining to Jeffery Otto most recently updated or revised?
The details related to Jeffery Otto, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-31.