Individual
NORMA LEE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 626-4148
(503) 626-4412
Mailing address
12292 SW GALA CT, TIGARD, OR 97224-8304
(503) 626-4148
(503) 626-4412
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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