Mr. Jack Lee Otterstrom is a Independence, Oregon based counselor who is specialized as Professional Counselor. His current practice location is 656 Jasmine Cir, Independence. Patients can book an appointment with him at 541-231-8023.
Mr. Jack Lee Otterstrom is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mr. Jack Lee Otterstrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Jack Lee Otterstrom |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Credentials: | LCSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 656 Jasmine Cir, Independence,
Oregon, 97351-9578 |
| Phone: | 541-231-8023 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922163096 |
| NPI Enumeration Date: | 27 Dec, 2006 |
| NPI Last Update On: | 06 Sep, 2022 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jack Lee Otterstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| R145387 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 619 Broad St S # 19,
Monmouth, Oregon |
| Zip: | 97361-2372 |
| Phone Number: | 412-318-0235 |
Patients can reach Mr. Jack Lee Otterstrom at
656 Jasmine Cir, Independence, Oregon or can
call to book an appointment on 541-231-8023.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.