Organization
FUTURES OUTPATIENT SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYCE E POTTER MD, DMD, FACS (OWNER)
(503) 224-1371
Entity
Organization
Contact information
Practice address
1849 NW KEARNEY ST STE 302, PORTLAND, OR 97209-1453
(503) 525-3653
(503) 224-9081
Mailing address
1849 NW KEARNEY ST STE 302, PORTLAND, OR 97209-1453
(503) 525-3653
(503) 224-9081
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071440
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000644
—
OR
Enumeration date
12/27/2006
Last updated
08/22/2020
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