National Provider Identifier Database

BRYCE E POTTER, MD, DMD – NPI #1346249281
Oral & Maxillofacial Surgery


Contact Information

BRYCE E POTTER, MD, DMD
1849 NW KEARNEY ST
STE 300
PORTLAND, OR97209-1453
Phone: 503-224-1371
Fax: 503-224-0722
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for BRYCE E POTTER

NPI Number 1346249281
Credentials MD, DMD
Entity Individual
Enumeration date 07/20/2005
Last updated 11/18/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • OR License #: MD12020
  • OR Medicaid: 160366
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRYCE E POTTER, MD, DMD

There are currently no reviews for BRYCE E POTTER, MD, DMD


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