Individual
SPENCER DANIEL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST # 1801, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301504320
MI
207L00000X
Anesthesiology Physician
Primary
MD218964
OR
Other
Enumeration date
06/01/2017
Last updated
04/03/2024
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