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Keevn Otte
Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon
NPI 1912250739

Keevn Otte is a Student in an Organized Health Care Education/Training Program based in Forest Grove, OR. Keevn Otte practices in Forest Grove, OR. The NPI Number for Keevn Otte is 1912250739 and holds a License No. (Oregon).

The current practice location address for Keevn Otte is 2043 College Way, Forest Grove, OR and can be reached out via phone at 612-481-1170.

Location: 2043 College Way, Forest Grove, OR, 97116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912250739
Provider Name
Keevn Otte
Credential
Provider Entity Type
Individual
Gender
Male
Address
2043 College Way, Forest Grove, OR, 97116
Phone Number
612-481-1170
Fax Number
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116
Phone Number
612-481-1170
Fax Number
person
Provider Business Mailing Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116
Phone Number
612-481-1170
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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