Potential Unlimited

NPI #1710150875 in Ashland, Oregon

Provider Information

NPI Number: 1710150875
Entity Type: Organization
Organization Name: Potential Unlimited
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 10, 2008
Last Updated: Apr 10, 2008

Practice Location

Address: 850 SISKIYOU BLVD
Address 2: SUITE 9
City: Ashland
State: Oregon
ZIP Code: 97520-2125
Phone: (541) 482-2780

Authorized Official

Name: SUSAN C BERRYHILL, LPC
Title: CLINIC DIRECTOR
Phone: (541) 482-2780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Counselor - Professional — Professional	101YP2500X	Primary

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