Potts, Stephanie Harper
Potts, Stephanie Harper is an individual health care provider with primary practice located at 627 Ne Evans St , Mcminnville OR 97128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Potts, Stephanie Harper can be contacted via phone (503) 434-7523.Contact Information
Primary practice address
627 Ne Evans St
Mcminnville OR 97128
Phone: (503) 434-7523
Fax: (503) 434-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200250090 | Oregon |
Profile Details
| NPI number | 1548265820 |
|---|---|
| LBN Legal business name | Potts, Stephanie Harper |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Feb 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548265820 | NPPES |
| Oregon | Other | ANP 0319 | WORKER'S COMP |
| Oregon | Other | 9644881 | WORKER'S COMP |
| Oregon | MEDICAID | 100376 | WORKER'S COMP |
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