Bettricia A Otto, DPM | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 494-6616 | |
(503) 346-6846 |
Full Name | Bettricia A Otto |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 21 Years |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629086491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 914 (Wisconsin) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | DP155874 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Health And Science University | 1759328842 | 81 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Provider Name | Oregon Health & Science University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417969304 PECOS PAC ID: 1759328842 Enrollment ID: O20050516000173 |
Provider Name | University Professional Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Bettricia A Otto, DPM 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Ph: (503) 494-6616 | Bettricia A Otto, DPM 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-6616 |
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