JACQUELINE ELIZABETH POTTER (NPI# 1497394977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497394977 |
| Entity Type | Individual |
| Full Name | JACQUELINE ELIZABETH POTTER |
| Credential | QMHP |
| Practice Address |
58147 Columbia River Hwy Saint Helens OR 97051-6229 |
| Mailing Address |
10051 N Syracuse St Portland OR 97203-1437 |
| Practice Telephone | 5033965322 |
| Mailing Telephone | 7205631321 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
58147 COLUMBIA RIVER HWY |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415004 | David Stephen Bogden | Physical Therapist | 58147 Columbia River Hwy, Ste A, Saint Helens, OR 97051-6226 | 2005-11-25 |
| 1932768009 | Betty Lou James | Counselor | 58147 Columbia River Hwy, Saint Helens, OR 97051-6229 | 2019-06-11 |
| 1235670936 | Elijawan Addison | Counselor | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2017-03-14 |
| 1841748225 | Michael Grant | Counselor | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2016-09-14 |
| 1528511904 | Clarissa Queahpama Craig | Counselor | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2016-08-02 |
| 1316308588 | Jessica Ford | Counselor | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2016-03-15 |
| 1396105003 | Andrew Eddings | Counselor | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2016-02-24 |
| 1730553876 | Medicine Wheel Recovery Services, Inc. | Community/Behavioral Health | 58147 Columbia River Hwy, Suite C, Saint Helens, OR 97051-6226 | 2015-11-29 |
| 1871908830 | Karli Moore | Massage Therapist | 58147 Columbia River Hwy, Saint Helens, OR 97051-6226 | 2014-06-27 |
| 1992119143 | Selby Forsman | Physical Therapist | 58147 Columbia River Hwy, Suite A, Saint Helens, OR 97051-6226 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647922 | Dawn Rene Lotti | Counselor | 58646 Mcnulty Way Ste H-375, Saint Helens, OR 97051-6210 | 2017-02-09 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1841802386 | Tamanna Malik | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-08-17 |
| 1912529520 | Amanda Lee Adams | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-05-18 |
| 1639707078 | Tyler James Walsh | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-03-31 |
| 1376173187 | Heidi Carmody | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-21 |
| 1639718729 | Aaron Mitchell Brown | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-06 |
| 1437795176 | Samantha Ann Looney | Counselor | 297 S 1st St, Saint Helens, OR 97051-2003 | 2019-11-18 |
| 1568013357 | Brianna Quinn Boice | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-09-24 |
| 1033767868 | Mckenzie Marie Brock | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-08-26 |
| Find all providers in SAINT HELENS | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
Please comment or provide details below to improve the information on JACQUELINE ELIZABETH POTTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.