BROOKE OTTMAN FNP NPI 1497388797

NPI Information

NPI: 1497388797
Provider Name: BROOKE OTTMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10123 SE MARKET ST
PORTLAND, OR
ZIP 97216
Phone: (503) 257-2500
Get Directions

Brooke Ottman, FNP is a family nurse practitioner in Portland, OR. Brooke Ottman, FNP NPI is 1497388797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10123 SE MARKET ST
PORTLAND, OR
ZIP 97216-532
Phone: (503) 257-2500

The NPI 1497388797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2020 and was last updated on 5/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN61057277	WASHINGTON	No
2	163WM0705X	Registered Nurse	Medical-Surgical	201141939RN	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	202003090NP-PP	OREGON	Yes
4	363LF0000X	Nurse Practitioner	Family	AP61057326	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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