Rotterman, Lottie Renee

Rotterman, Lottie Renee is an individual health care provider with primary practice located at 24076 Se Stark St Suite 230, Gresham OR 97030-3373. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Rotterman, Lottie Renee can be contacted via phone (503) 465-5461.

Contact Information

Primary practice address
24076 Se Stark St Suite 230 Gresham OR 97030-3373
Phone: (503) 465-5461
Fax: (503) 465-5468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 022302 Oregon

Profile Details

NPI number 1871792580
LBN Legal business name Rotterman, Lottie Renee
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Nov 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871792580 NPPES
Washington MEDICAID 1871792580
Washington MEDICAID 234892

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