Individual
MR. SPENCER KEANE WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30 NE MLK, PORTLAND, OR 97232-2941
(301) 639-8283
Mailing address
507 ASH ST, LAKE OSWEGO, OR 97034-4907
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10031841
OR
Other
Enumeration date
09/16/2022
Last updated
07/15/2025
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