Potter, Michael L.

Potter, Michael L. is an individual health care provider with primary practice located at 70 Bower Dr Ste 240 , Medford OR 97501-3689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Potter, Michael L. can be contacted via phone (541) 732-8790.

Contact Information

Primary practice address
70 Bower Dr Ste 240 Medford OR 97501-3689
Phone: (541) 732-8790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD23161 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23161 Oregon

Profile Details

NPI number 1457388191
LBN Legal business name Potter, Michael L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 29th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457388191 NPPES
Oregon MEDICAID 228818

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