Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Rose Otto, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1780568295

Heather Rose Otto, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1500 NE Irving St Ste 210
Portland, OR 97232-2243
Phone: (425) 477-4215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 — (503) 741-2735

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10048385 (OR)

Record details

NPI number1780568295
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 5, 2025
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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