PAUL DENNIS POTTER

PORTLAND, OR
NPI1609985332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  86-01-03)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Mr. PAUL DENNIS POTTER MAC, MSW
2130 SW 5TH AVE SUITE 210
PORTLAND, OR 97201-4976
Phone number: 503-963-7756
Mailing Address
Mr. PAUL DENNIS POTTER MAC, MSW
2130 SW 5TH AVE SUITE 210
PORTLAND, OR 97201-4976
Phone number: 503-963-7756
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