Dr. Bryce Earl Potter
Oral & Maxillofacial Surgeon
1849 Nw Kearney St Ste 300
Portland
, Oregon 97209-1453
Dr. Bryce Earl Potter
Oral & Maxillofacial Surgeon
1849 Nw Kearney St Ste 300
Portland
, Oregon 97209-1453
(503) 224-0722
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bryce Earl Potter
- 1849 Nw Kearney St Ste 300
- Portland, OR
- Zip : 97209-1453
- Fax : (503) 224-0722
- Phone : (503) 224-1371
Second Address
- Dr. Bryce Earl Potter
- 1849 Nw Kearney St Ste 300
- Portland, OR
- Zip : 97209-1453
- Fax : (503) 224-0722
- Phone : (503) 224-1371
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | MD12020 | OR |
National Provider Identifier
| NPI | 1346249281 |
|---|---|
| Provider Name | Dr. Bryce Earl Potter |
| First Address | Portland, OR 97209-1453 |
| Second Address | Portland, OR 97209-1453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 18/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 160366 | (05) | OR |
| C91375 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.