Individual
PATRICK A SPENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2318 E PORTLAND RD, SUITE 300, NEWBERG, OR 97132-1372
(503) 538-0411
Mailing address
2318 E PORTLAND RD, SUITE 300, NEWBERG, OR 97132-1372
(503) 538-0411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19698
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078662
—
OR
01
—
831593003
REGENCE BLUE CROSS
OR
01
—
97132A002
TRICARE
OR
01
—
F85932
PROVIDENCE OREGON
OR
Enumeration date
11/10/2005
Last updated
02/04/2022
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