Individual
AMY RUTH SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MACOM
Contact information
Practice address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Mailing address
10365 SE SUNNYSIDE RD., SUITE 210, CLACKAMAS, OR 97015
(503) 887-7725
(503) 855-3269
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150496
OR
Other
Enumeration date
11/30/2009
Last updated
04/30/2015
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