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NPI Profile for Dr BRYCE E POTTER in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1346249281 |
|
| Status | Active | |
| Credentials | MD, DMD | |
| Entity | Individual | |
| Enumeration date | 07/20/2005 | |
| Last updated | 11/18/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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BRYCE E POTTER
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BRYCE E POTTER, MD, DMD