Individual provider · Type 1 NPI

James Kosta Otto

Peer Specialist · Bend, OR

NPI number 1174301709 Active

Practice location

1340 NW Wall St
Bend, OR 97703-1985

Call (541) 322-7500 Map

Fax (541) 322-7565

Mailing address

2577 NE Courtney Drive
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1174301709

James Kosta Otto's National Provider Identifier is 1174301709, issued on Sep 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Nov 15, 2024.