Potter, Bryce Earl
Potter, Bryce Earl is an individual health care provider with primary practice located at 1849 Nw Kearney St Ste 300, Portland OR 97209-1453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Potter, Bryce Earl can be contacted via phone (503) 224-1371.Contact Information
Primary practice address
1849 Nw Kearney St Ste 300
Portland OR 97209-1453
Phone: (503) 224-1371
Fax: (503) 224-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD12020 | Oregon |
Profile Details
| NPI number | 1346249281 |
|---|---|
| LBN Legal business name | Potter, Bryce Earl |
| Credentials | MD, DMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Nov 18th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346249281 | NPPES |
| Oregon | MEDICAID | 160366 |
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