TAMMIE L POTTER

ROSEBURG, OR
NPI1164185021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  200230108LPN)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
TAMMIE L POTTER
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-673-3469
Mailing Address
TAMMIE L POTTER
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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