MR. Jack Lee Otterstrom LCSW

  • NPI 1922163096
According to our database, the NPI number for MR. Jack Lee Otterstrom LCSW is 1922163096 and activated since 17 years ago. MR. Jack Lee Otterstrom LCSW is an individual provider who specializes in Professional, and the primary practice location is 250 W Marquam St, Mount Angel, OR 97362. You can also contact MR. Jack Lee Otterstrom LCSW via telephone number is (971) 983-5214. Provider NPI information was last updated on 05/18/2017.

Recently Active NPIs

Overview of MR. Jack Lee Otterstrom LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/27/2006
  • Last updated: 05/18/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: L5316
  • License State: OR

Provider Mailing Address

  • Address: Po Box 278
    Woodburn, OR 97071
  • Phone: 971-983-5260
  • Fax:

Provider Practice Location

  • Address: 250 W Marquam St
    Mount Angel, OR 97362
  • Phone: 971-983-5214
  • Fax: 971-983-5219

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: L5316
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: R145387
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jack Lee Otterstrom LCSW?
  • A: The npi number for MR. Jack Lee Otterstrom LCSW is 1922163096.
  • Q: What are MR. Jack Lee Otterstrom LCSW's specialties?
  • A: MR. Jack Lee Otterstrom LCSW's specialties are Professional and different specialities.
  • Q: What is the medical license for MR. Jack Lee Otterstrom LCSW?
  • A: The medical license number for MR. Jack Lee Otterstrom LCSW is L5316 and issued in OR in USA.
  • Q: Where is MR. Jack Lee Otterstrom LCSW practice location?
  • A: MR. Jack Lee Otterstrom LCSW is practicing at 250 W Marquam St, Mount Angel, OR 97362.
  • Q: How to contact MR. Jack Lee Otterstrom LCSW?
  • A: You can contact MR. Jack Lee Otterstrom LCSW via 971-983-5214.