Individual
CAROL JEAN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC60858445
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660-1013
(360) 205-1222
(360) 469-0112
Mailing address
7311 NE 142ND AVE, VANCOUVER, WA 98682-5020
(360) 991-9756
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60858445
WA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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