Jeri Lynn Otterstrom, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1162 Issued in OR

Practice address

1000 River Rd
Eugene, OR 97404-3230

Phone

(541) 688-1569

Fax

(541) 461-6884

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Tree Family Practice, LLC

  • Naturopath
  • Eugene, OR
  • NPI 1184012585
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1013040526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-688-1569",
            "fax_number": "541-461-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-688-1569",
            "fax_number": "541-461-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTERSTROM",
        "first_name": "JERI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229346",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "43-1986773",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quincy Bjorck Otoole, LMT
• Cassnadra Ott
• David H Ott, DC
• Eric Norbert Ottenbreit, DPT
• Kayla Otterson, PHARMD
• Brittany Ouchida
• Mark Ouellette, PT
• Chelsea Oughterson
• Afiwa Elisabeth Outcha Oni
• Larry Michael Over, DMD,MSD

• Naturopath in Eugene, OR
• Providers in Eugene, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.