Individual
CHRISTIAN LEE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1369 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-8470
Mailing address
1369 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-8470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00259300
NJ
363A00000X
Physician Assistant
Primary
PA168445
OR
Other
Enumeration date
08/09/2011
Last updated
11/21/2016
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