LOTTIE RENEE ROTTERMAN


Address: 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373
Phone: 5034655461

LOTTIE RENEE ROTTERMAN (NPI# 1871792580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871792580
Entity Type Individual
Full Name LOTTIE RENEE ROTTERMAN
Other Name LOTTIE RENEE POLICAR
Credential AUD
Practice Address 24076 Se Stark St
Suite 230
Gresham
OR 97030-3373
Mailing Address 847 Ne 19th Ave
Suite 300
Portland
OR 97232-2684
Practice Telephone 5034655461
Practice Fax Number 5034655468
Mailing Telephone 5039632801
Mailing Fax Number 5039632825
Enumeration Date 2007-07-12
Last Update Date 2012-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 022302 OR Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1871792580 05
OR 234892 05

Office Location

Street Address 24076 SE STARK ST
SUITE 230
City GRESHAM
State OR
Zip Code 97030-3373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720070873 Shammai Rockove Urology 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 2005-08-16
1538659578 Claire Valentine Physical Therapist 24076 Se Stark St, Gresham, OR 97030 2018-05-15
1598289282 Stephen Matthew Block Physical Therapist 24076 Se Stark St, Gresham, OR 97030-3373 2017-08-03
1114479458 Anna Lee Physician Assistant 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 2016-11-03
1265801070 Patrick Clinton Physical Therapist 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 2015-09-22
1932548161 Jenna Lee Esterberg Physician Assistant 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 2013-06-20
1922371947 Armworks Hand Therapy, LLC Durable Medical Equipment & Medical Supplies 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 2012-02-22
1225311210 Shelley Piers-vanderploeg Physical Therapist 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 2011-09-26
1932497518 Christina Doughty Physician Assistant 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 2011-07-15
1205130473 Jennifer Robyn Briggs Audiologist 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 2011-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467521583 Audiology and Hearing Aid Center of Gresham Audiologist 752 Ne Burnside St, Gresham, OR 97030 2006-11-06
1205130473 Jennifer Robyn Briggs Audiologist 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 2011-01-03
1982785655 Sheri Lee Smith Audiologist 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083234710 Kelly Mankin Anderson Audiologist 135 Nw 17th St, Bend, OR 97703-2420 2020-04-22
1629624945 Lisa Ann Fratini Audiologist 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 2019-08-13
1669039434 Mathew Ray Lingmann Audiologist 15405 Sw 116th Ave Ste 200, King City, OR 97224-4105 2019-05-28
1548739097 Danielle Garrido Audiologist 12724 Se Stark St Bldg H, Portland, OR 97233-1539 2018-11-14
1548745540 Alyce Schott Audiologist 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 2018-09-26
1518440080 Lauren Marie Rynders Audiologist 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 2018-09-11
1053894626 Oriana P Maldonado Audiologist 501 N Graham St Ste 320, Portland, OR 97227-2001 2018-09-10
1972084812 Jamie Malynn Hubbard-parker Audiologist 3099 River Rd S # 120, Salem, OR 97302-9754 2018-08-28
1083195317 Kimberly Michiko Nakayama Audiologist 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 2018-08-24
1851894604 Sophia Bao Nguyen Audiologist 3857 Wolverine St Ne Ste 16c, Salem, OR 97305-4270 2018-03-16
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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