Individual
MR. PAUL DENNIS POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAC, MSW
Contact information
Practice address
2130 SW 5TH AVE, SUITE 210, PORTLAND, OR 97201-4976
(503) 963-7756
(503) 963-7711
Mailing address
2130 SW 5TH AVE, SUITE 210, PORTLAND, OR 97201-4976
(503) 963-7756
(503) 963-7711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86-01-03
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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