Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patricia Sue Otis, MD

Individual provider Family Medicine Physician · NPI 1215963509

Patricia Sue Otis, MD is a Family Practice in Salem, Oregon. Graduated from University of Nebraska College of Medicine in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Nebraska and Oregon.

Years since qualifying
22
Trained at
University of Nebraska College of Medicine
Licensed in
NE, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1049 Edgewater St NW # 150
Salem, OR 97304-4046
Phone: (503) 814-4400
Fax: (503) 814-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD27752 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23396 (NE)

Record details

NPI number1215963509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESFebruary 4, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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