Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ashanti Ida Potter

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174116552

MS. Ashanti Ida Potter is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

2575 NW Kline St
Roseburg, OR 97471
Phone: (541) 673-3504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OR)

Record details

NPI number1174116552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address2575 Nw Kline St, Roseburg, OR 97471-8827

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