Most Relevant Information
Provider Data
| NPI Number: | 1003371170 |
| Provider Name: | CAITLIN MARIE POTTS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2019 |
| Last Updated: | 02/04/2019 |
Provider Practice Location
707 NE COUCH ST
PORTLAND
OR
972322922
Practice Location Phone/Fax
| Phone: | 5035424603 |
| Fax: |
Provider Mailing Location
707 NE COUCH ST
PORTLAND
OR
972322922
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |