Laurie Otte, Msn, Fnp, P.c. | |
1100 Ne 7th St Ste C Grants Pass OR 97526-1415 | |
(541) 476-7000 | |
Not Available |
Full Name | Laurie Otte, Msn, Fnp, P.c. |
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Speciality | Clinic/Center |
Location | 1100 Ne 7th St Ste C, Grants Pass, Oregon |
Authorized Official Name and Position | Laurie Otte (OWNER) |
Authorized Official Contact | 5414767000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laurie Otte, Msn, Fnp, P.c. 1100 Ne 7th St Ste C Grants Pass OR 97526-1415 Ph: () - | Laurie Otte, Msn, Fnp, P.c. 1100 Ne 7th St Ste C Grants Pass OR 97526-1415 Ph: (541) 476-7000 |
NPI Number | 1659841153 |
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Provider Enumeration Date | 11/28/2018 |
Last Update Date | 11/28/2018 |
Medicare PECOS PAC ID | 2264773191 |
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Medicare Enrollment ID | O20190403000183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659841153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Laurie Marie Otte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336557016 PECOS PAC ID: 9638491046 Enrollment ID: I20141212001518 |
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