What is Randy Otteson's NPI number?

Randy Otteson's National Provider Identifier (NPI) is 1073621355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Randy Otteson's specialty?

Randy Otteson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Randy Otteson located?

Randy Otteson's practice location on file with NPPES is 5312 Se 52nd Ave, Portland, OR 97206.

What is Randy Otteson's phone number?

The practice phone number listed in the NPPES registry for Randy Otteson is (503) 775-7117.

Is Randy Otteson's NPI active?

Yes — Randy Otteson's NPI (1073621355) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Randy Otteson, DMD

NPI 1073621355 · General Practice Dentistry · Portland, OR

Randy Otteson, DMD is a General Practice Dentistry provider in Portland, OR (NPI 1073621355).

Provider details

NPI number: 1073621355
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 6192 (OR)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 6192 (OR)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5312 Se 52nd Ave

Portland, OR 97206

Phone: (503) 775-7117

Fax: (503) 775-7045

Street-level locationGet directions

More OR providers

Mailing address