Individual
ELIZABETH ANN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
100 RIVER AVE, EUGENE, OR 97404-2507
(541) 607-0897
(541) 607-7573
Mailing address
31371 FIRECLAY RD, COTTAGE GROVE, OR 97424-9203
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
200150041NP GNP-PP
OR
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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