Provider Demographics
NPI:1881738300
Name:POTJE, FRANK C (RN)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:C
Last Name:POTJE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:C
Other - Last Name:POTJE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:61739 TOMAHAWK ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9532
Mailing Address - Country:US
Mailing Address - Phone:541-420-1483
Mailing Address - Fax:
Practice Address - Street 1:61739 TOMAHAWK ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9532
Practice Address - Country:US
Practice Address - Phone:541-420-1483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health