Individual
ANGELA LYNN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 200-1639
Mailing address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 200-1639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809396NP-PP
OR
Other
Enumeration date
10/24/2018
Last updated
03/26/2025
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