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1609985332
PAUL DENNIS POTTER
PORTLAND, OR
NPI
1609985332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 86-01-03)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. PAUL DENNIS POTTER MAC, MSW
2130 SW 5TH AVE SUITE 210
PORTLAND, OR 97201-4976
Phone number: 503-963-7756
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Mailing Address
Mr. PAUL DENNIS POTTER MAC, MSW
2130 SW 5TH AVE SUITE 210
PORTLAND, OR 97201-4976
Phone number: 503-963-7756
Copy
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