person
Mr. Paul Dennis Potter, MAC,MSW
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1609985332

Paul Dennis Potter is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Paul Dennis Potter practices in Portland, OR and has the professional credentials of MAC,MSW. The NPI Number for Paul Dennis Potter is 1609985332 and holds a License No. 86-01-03 (Oregon).

The current practice location address for Paul Dennis Potter is 2130 Sw 5Th Ave, Portland, OR and can be reached out via phone at 503-963-7756 and via fax at 503-963-7711.

Location: 2130 Sw 5Th Ave, Portland, OR, 97201-4976
person
Provider Profile Details
NPI Number
1609985332
Provider Name
Paul Dennis Potter
Credential
MAC,MSW
Provider Entity Type
Individual
Gender
Male
Address
2130 Sw 5Th Ave, Portland, OR, 97201-4976
Phone Number
503-963-7756
Fax Number
503-963-7711
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2130 Sw 5Th Ave
City
State
Zip
97201-4976
Phone Number
503-963-7756
Fax Number
503-963-7711
person
Provider Business Mailing Address Details
Address
2130 Sw 5Th Ave
City
State
Zip
97201-4976
Phone Number
503-963-7756
Fax Number
503-963-7711
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
86-01-03 (Oregon)
Definition
Definition to come...
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