Mr Kerry Potts, is a
Marriage & Family Therapist based in Fairview, Oregon. Mr Kerry Potts is licensed to practice in * (Not Available) (license number ) and his current practice location is
1450 Ne Village St, Fairview, Oregon. He can be reached at his office (for appointments etc.) via phone at
(360) 356-5977.
NPI number for Mr Kerry Potts is 1659639177 and his current mailing address is Po Box 1128, Washougal, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659639177.
Healthcare Provider's Profile
Full Name | Mr Kerry Potts |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1450 Ne Village St, Fairview, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659639177
- Provider Enumeration Date: 05/03/2012
- Last Update Date: 05/03/2012
Medical Identifiers
Medical identifiers for Mr Kerry Potts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659639177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kerry Potts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kerry Potts, Po Box 1128, Washougal, WA 98671-0925 Ph: () - | Mr Kerry Potts, 1450 Ne Village St, Fairview, OR 97024-3827 Ph: (360) 356-5977 |
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