Individual
SPENCER GRANT KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 SW 10TH ST, NEWPORT, OR 97365-5235
(541) 574-3301
Mailing address
765 E COLLINS ST, DEPOE BAY, OR 97341-1931
(503) 798-3607
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
OR
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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