Individual
MONICA ELAINE SPISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16022 SE STARK ST, PORTLAND, OR 97233-3528
(503) 860-9812
Mailing address
12330 SE BUSH ST APT 51, PORTLAND, OR 97236-3480
(503) 860-9812
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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