Individual provider · Type 1 NPI
Michelle Yvonne Lopera-Ottenheimer, PA-C
Medical Physician Assistant · Roseburg, OR
NPI number
1740444033
Active
Practice location
2880 NW Stewart Pkwy Ste 200, Suite 203
Roseburg, OR 97471-1204
Fax (541) 673-5794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00810 (OR) |
Medical Physician Assistant: Definition to come...
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About NPI 1740444033
Michelle Yvonne Lopera-Ottenheimer, PA-C's National Provider Identifier is 1740444033, issued on Jul 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roseburg, OR. The record was last updated on Apr 22, 2014.