MEDICARE: DR. CHRISTOPHER ALLEN POTTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD60278929	WA
2	2085R0202X	Diagnostic Radiology Physician	258073	MA
3	2085R0202X	Diagnostic Radiology Physician	ML60026977	WA

General Provider Information

NPI Number	:	1639306129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ALLEN POTTER M.D.

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST
Second Line	:	C212, BOX 356340
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-543-0065
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:	C212, BOX 356340
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-543-0065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	02/18/2026

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