Individual provider · Type 1 NPI
John Otts, LPC, CADCIII
Addiction (Substance Use Disorder) Counselor · Beaverton, OR
NPI number
1174905210
Active
Practice location
6600 SW 105th Ave, Suite 120
Beaverton, OR 97008-8832
Fax (503) 867-1259
Mailing address
2073 SW Park Ave, 216
Portland, OR 97201-3122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | C4480 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1174905210
John Otts, LPC, CADCIII's National Provider Identifier is 1174905210, issued on Jun 25, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on Apr 20, 2017.