Individual provider · Type 1 NPI

Paul Dennis Potter, MAC, MSW

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1609985332 Active

Practice location

2130 SW 5th Ave, Suite 210
Portland, OR 97201-4976

Call (503) 963-7756 Map

Fax (503) 963-7711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X86-01-03 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609985332

Paul Dennis Potter, MAC, MSW's National Provider Identifier is 1609985332, issued on Aug 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.