Individual
STACY SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA.C, MSOM
Contact information
Practice address
2253 HIGHWAY 99 N, UNIT #75, ASHLAND, OR 97520-9657
(503) 515-7702
Mailing address
2253 HIGHWAY 99 N, UNIT #75, ASHLAND, OR 97520-9657
(503) 515-7702
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159474
OR
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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