DR. BRYCE EARL POTTER MD DMD NPI 1346249281

NPI Information

  • NPI: 1346249281
  • Provider Name: DR. BRYCE EARL POTTER, MD, DMD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 1849 NW KEARNEY ST
    STE 300
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 224-1371

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NPI Details

DR. Bryce Earl Potter, MD, DMD is an oral maxillofacial surgery in Portland, OR. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Bryce Earl Potter, MD, DMD NPI is 1346249281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1849 NW KEARNEY ST
STE 300
PORTLAND, OR
ZIP 97209-453
Phone: (503) 224-1371
Fax: (503) 224-0722

The enumeration date for this NPI number is 7/20/2005 and was last updated on 11/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryMD12020OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1160366MEDICAIDOREGON
2110262MEDICARE ID-TYPE UNSPECIFIEDOREGON
3C91375MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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