DR. BRYCE EARL POTTER MD, DMD
Surgery Yellow Pages
Portland, Oregon
Provider NPI: 1346249281
Provider Information:DR. BRYCE EARL POTTER MD, DMD
Practice Location:
1849 NW KEARNEY ST STE 300 PORTLAND, OR 97209 US
Tel: 503-224-1371 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | OR | MD12020 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
160366 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin