Individual
MR. MITCHELL POTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11530 NE YACHT HARBOR DR, APT#D-211, PORTLAND, OR 97217-3590
(207) 356-9356
Mailing address
11530 NE YACHT HARBOR DR, APT#D-211, PORTLAND, OR 97217-3590
(207) 356-9356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
377857
OR
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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