Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285311407 Individual Practitioner Male Practitioner

Otto John

Peer Specialist • Siletz, OR

Professional Overview & Biography Verified Profile Summary

Otto John is a registered healthcare professional specializing in Peer Specialist in Siletz, OR. Practice services are available at 200 GWEE SHUT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Gwee Shut Rd

Siletz, OR 973802036

Telephone 5414441030
Associated Practice Facility / Clinic
🏢 Confederated Tribes Of Siletz Facility NPI 1154837383

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Siletz, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Siletz, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-29
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Laura Bremner

Community Health Worker

NPI 1003691171
Todd Logan , CADC R

Counselor - Addiction (Substance Use Disorder)

NPI 1013740836

CADCR

Conrad Douma , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1023131646

CADCI

Dr. Lisa Emond , MD

Internal Medicine

NPI 1033101324

Doctor of Medicine (M.D.)

Dr. James Haeg , MD

Family Medicine

NPI 1033324264

Doctor of Medicine (M.D.)

Angeline Poirier , THW

Community Health Worker

NPI 1043176423

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2023

Registered at 200 GWEE SHUT RD, SILETZ, OR 973802036 (Tel: 5414441030)

📍
Updated Business Mailing Address June 29, 2023

Registered at PO BOX 320, SILETZ, OR 973800320

👤
Provider Name / Credentials Updated June 29, 2023

Recorded as OTTO JOHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration June 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285311407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2023
Last Update: June 29, 2023
Sole Proprietor: No

Mailing Address

Po Box 320

Siletz, OR 973800320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.