MICHELLE YVONNE LOPERA-OTTENHEIMER PA-C NPI 1740444033

NPI Information

NPI: 1740444033
Provider Name: MICHELLE YVONNE LOPERA-OTTENHEIMER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2880 NW STEWART PKWY STE 200
SUITE 203
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-0496
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Michelle Yvonne Lopera-ottenheimer, PA-C is a medical physician assistant in Roseburg, OR. Michelle Yvonne Lopera-ottenheimer, PA-C NPI is 1740444033. 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:

2880 NW STEWART PKWY STE 200
SUITE 203
ROSEBURG, OR
ZIP 97471-204
Phone: (541) 673-0496
Fax: (541) 673-5794

The enumeration date for this NPI number is 7/15/2008 and was last updated on 4/22/2014.

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	363AM0700X	Physician Assistant	Medical	PA00810	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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