Individual
DR. DORIA MARIA POTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60742752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POTHEDM135B4
DRIVER'S LICENSE
WA
Enumeration date
04/10/2014
Last updated
05/04/2021
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