person
James Kosta Otto
Peer Specialist in Bend, Oregon
NPI 1174301709

James Kosta Otto is a Peer Specialist based in Bend, OR. James Kosta Otto practices in Bend, OR. The NPI Number for James Kosta Otto is 1174301709 and holds a License No. (Oregon).

The current practice location address for James Kosta Otto is 1900 Ne Division St Ste 201, Bend, OR and can be reached out via phone at 541-516-6330.

Location: 1900 Ne Division St Ste 201, Bend, OR, 97701-3572
person
Provider Profile Details
NPI Number
1174301709
Provider Name
James Kosta Otto
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 Ne Division St Ste 201, Bend, OR, 97701-3572
Phone Number
541-516-6330
Fax Number
Provider Enumeration Date
09/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Ne Division St Ste 201
City
State
Zip
97701-3572
Phone Number
541-516-6330
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Ne Division St Ste 201
City
State
Zip
97701-3572
Phone Number
541-516-6330
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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