Potter, Gwendolyn Kaye

Potter, Gwendolyn Kaye is an individual health care provider with primary practice located at 1545 Harbeck Rd , Grants Pass OR 97527-5605. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Potter, Gwendolyn Kaye can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1545 Harbeck Rd Grants Pass OR 97527-5605
Phone: (541) 476-2373
Fax: (541) 295-3069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 03-07-35 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1184904864
LBN Legal business name Potter, Gwendolyn Kaye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated May 31st, 2019 - about 5 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.

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