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Individual

CAMELLA M POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
605 UNION ST NE, SALEM, OR 97301-2462
(971) 207-3680
(503) 339-9585
Mailing address
605 UNION ST NE, SALEM, OR 97301-2462
(503) 804-4730
(888) 959-9018

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1959
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396159109
NPI2
05
500665861
OR
05
500672146
OR
Enumeration date
06/17/2013
Last updated
03/17/2018
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