Bryce Earl Potter in Portland - Oral & Maxillofacial Surgery
Bryce Earl Potter - NPI 1346249281
Bryce Earl Potter is a Oral & Maxillofacial Surgery in Portland, Oregon. Bryce Earl Potter practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Bryce Earl Potter is 1346249281. The last update date is 2011-11-18.
Bryce Earl Potter's current location address is 1849 Nw Kearney St, Portland, Oregon. You can contact this provider via phone number 5032241371 and fax number 5032240722. The mailing address for Bryce Earl Potter is 1849 Nw Kearney St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryce Earl Potter |
|---|---|
| Address | 1849 Nw Kearney St, Portland, Oregon |
| Phone Number | 5032241371 |
| Fax Number | 5032240722 |
| Sole Proprietor | N |
| Credentials | MD, DMD |
NPI Number Detail
| NPI Number | 1346249281 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 1849 Nw Kearney St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972091453 |
| Phone Number | 5032241371 |
| Fax Number | 5032240722 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | MD12020 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160366 | OR | -- |
Post Comment/ Review Below
What is the Bryce Earl Potter's 1346249281?
The Bryce Earl Potter's NPI (National Provider Identifier) Number is 1346249281. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bryce Earl Potter is physically located?
The Bryce Earl Potter is physically situated at the following address: 1849 Nw Kearney St, Portland, OR, 972091453.
What is Bryce Earl Potter's area of expertise and its corresponding taxonomy classification?
The Bryce Earl Potter's field of specialization is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Bryce Earl Potter receive its 1346249281 assignment from the Centers for Medicare & Medicaid Services?
The Bryce Earl Potter was assigned its 1346249281 by the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date was the information regarding Bryce Earl Potter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryce Earl Potter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-18.
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