Individual
KAREN V POTAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMNP-PP
Contact information
Practice address
76 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-3874
(541) 475-3503
Mailing address
76 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-3874
(541) 475-3503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26221N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040407
—
OR
Enumeration date
12/20/2006
Last updated
09/04/2012
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