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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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POTTHOFF, TROY LANE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 98POINT6
701 5TH AVE
STE 2300
SEATTLE WA 98104

Address last updated on 5/17/2024
Phone #: (206) 258-6039
Fax #:
County: NOT OKLAHOMA
License: 34767
Dated: 6/11/2019
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 1993
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
98POINT6
701 5TH AVE
STE 2300
SEATTLE WA 98104

Phone #: (206) 258-6039
Fax #:
Mon: 12:00AM - 12:00AM
Tue: 12:00AM - 12:00AM
Wed: 12:00AM - 12:00AM
Thu: 12:00AM - 12:00AM
Fri: 12:00AM - 12:00AM
Sat: 12:00AM - 12:00AM
Sun: 12:00AM - 12:00AM

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