Taylor Alysa Pottratz

NPI #1619532884 in Lake Oswego, Oregon

Provider Information

NPI Number: 1619532884
Entity Type: Individual
Name: Taylor Alysa Pottratz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 3, 2019
Last Updated: Oct 4, 2021

Practice Location

Address: 123 C AVE
City: Lake Oswego
State: Oregon
ZIP Code: 97034-2353
Phone: (503) 905-9006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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