IndividualActive
Carol Otis, MD
NPI 1326688995 · Sports Medicine (Internal Medicine) Physician · Portland, OR
Provider details
- NPI number
- 1326688995
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- G39461 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
0836 Sw Curry St Unit 1400
Portland, OR 97239-4529
Phone: (310) 704-9796
Approximate (ZIP-level) locationGet directions
Mailing address
0836 Sw Curry St Unit 1400
Portland, OR 97239-4529
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.