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Madeleine Rose Potter, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Portland, OR. Individual provider (NPI-1).

NPI number1083379804
StatusActive
Last updated in NPPESApr 4, 2025

Details

NPI
1083379804
Entity type
Individual (NPI-1)
Name
Madeleine Rose Potter
Credential
PMHNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2021
Certification date
Apr 4, 2025
Last updated
Apr 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health202215360NP-PPORYes

Practice location

3036 Ne Mlk Jr Blvd
Portland, OR 97212-3053

Phone 503-283-3763 · Fax 503-735-0912

Mailing address

Po Box 8459
Portland, OR 97207-8459

Other practice locations

4212 Se Division St Ste 100
Portland, OR 97206-1680

Phone 503-238-0705 · Fax 503-236-7166

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Portland, OR

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