Karen V Potampa is a Family in Madras, Oregon. Karen V Potampa practices all healthcare services and medical treatments related to Family. The NPI Number for Karen V Potampa is 1174687867. The last update date is 2012-09-04.
Karen V Potampa's current location address is 76 Ne 12th St, Madras, Oregon. You can contact this provider via phone number 5414753874 and fax number 5414753503. The mailing address for Karen V Potampa is 76 Ne 12th St, Madras, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen V Potampa |
|---|---|
| Address | 76 Ne 12th St, Madras, Oregon |
| Phone Number | 5414753874 |
| Fax Number | 5414753503 |
| Sole Proprietor | N |
| Credentials | NMNP-PP |
NPI Number Detail
| NPI Number | 1174687867 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 76 Ne 12th St |
|---|---|
| City | Madras |
| State | Oregon (OR) |
| Post Code | 977411827 |
| Phone Number | 5414753874 |
| Fax Number | 5414753503 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 26221N1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40407 | OR | -- |
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What is the unique 10-digit identifier code issued to Karen V Potampa by the Centers for Medicare & Medicaid Services?
The Karen V Potampa has been assigned the NPI (National Provider Identifier) 1174687867 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Karen V Potampa's physical address?
The Karen V Potampa is physically located at 76 Ne 12Th St, in the city of Madras, OR, with the postal code 977411827.
What is Karen V Potampa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Karen V Potampa is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When was the Karen V Potampa's 1174687867 issued?
The Karen V Potampa's 1174687867 was issued on 2006-12-20.
As of what date were the Karen V Potampa's details last updated?
The information pertaining to the Karen V Potampa, including its address, specialty, and other details, was most recently updated on 2012-09-04.