Individual
MARK K SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1247 NE MEDICAL CENTER DR STE C, BEND, OR 97701-3786
(541) 706-5777
(541) 429-6642
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 706-5777
(541) 429-6642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00617
OR
Other
Enumeration date
06/20/2005
Last updated
03/17/2018
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