DR. RANDY E OTTESON DMD
NPI 1073621355
Dentist - General Practice in Portland, OR

Q: What is Randy Otteson's NPI number?

The NPI number for Randy Otteson is 1073621355. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Randy Otteson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randy Otteson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2006

5312 SE 52ND AVE, PORTLAND, OR 97206(503) 775-7117(503) 775-7045 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Randy E Otteson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY E OTTESON DMD (NPI 1073621355) is an individual general practice provider in Portland, Oregon, licensed in Oregon (6192) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1073621355

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDY E OTTESONCredential: DMD

Location Address5312 SE 52ND AVEPortland, OR 97206

Mailing Address5312 Se 52nd AvePortland, OR 97206 · (503) 775-7117 · Fax (503) 775-7045

Phone(503) 775-7117

Fax(503) 775-7045

Sole ProprietorNo

Enumeration DateAugust 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073621355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 6192

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5312 SE 52ND AVE, Portland, OR 97206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Otteson's NPI number?

The NPI number for Randy Otteson is 1073621355. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Randy Otteson located?

Randy Otteson practices at 5312 SE 52nd Ave, Portland, OR 97206. The listed phone number is (503) 775-7117.

What is Randy Otteson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Randy Otteson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Randy Otteson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Otteson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.