Individual provider · Type 1 NPI

Madeleine Rose Potter, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1083379804 Active

Practice location

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053

Fax (503) 735-0912

Mailing address

PO Box 8459
Portland, OR 97207-8459

Other practice locations

  • 4212 SE Division St Ste 100, Portland, OR 97206-1680 · (503) 238-0705

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202215360NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1083379804

Madeleine Rose Potter, PMHNP-BC's National Provider Identifier is 1083379804, issued on Nov 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Apr 4, 2025.