Healthcare Provider Details

I. General information

NPI: 1376623470
Provider Name (Legal Business Name): JULIE POTTS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7825 N SOUND DR
SEDRO WOOLLEY WA
98284-7675
US

IV. Provider business mailing address

311 DUNBAR LN
CAMANO ISLAND WA
98282-8731
US

V. Phone/Fax

Practice location:
  • Phone: 425-349-8555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRC00052814
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNC10078923
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: