Individual
ELIZABETH A POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2450 NE MARY ROSE PL, SUITE 110, BEND, OR 97701-7132
(541) 318-8388
Mailing address
2450 NE MARY ROSE PL, SUITE 110, BEND, OR 97701-7132
(541) 318-8388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004355
MI
152W00000X
Optometrist
Primary
AT3479
OR
Other
Enumeration date
01/25/2007
Last updated
10/07/2024
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