Individual
DR. SCOTT EDWARD POTENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2900 DAGGETT AVE, KLAMATH FALLS, OR 97601-7101
(541) 884-1317
(541) 274-4395
Mailing address
2900 DAGGETT AVE, KLAMATH FALLS, OR 97601-7101
(541) 205-3974
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018-00043
NC
2085R0202X
Diagnostic Radiology Physician
MD190554
OR
Other
Enumeration date
06/16/2011
Last updated
01/19/2023
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