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Individual

DR. SCOTT SIMNER SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D, MPH

Contact information

Practice address
2701 NW VAUGHN ST., SUITE 360, PORTLAN, OR 97210
(503) 227-0671
(503) 227-0676
Mailing address
1510 DIVISION ST., STE. 280, OREGON CITY, OR 97045
(503) 905-3400
(503) 905-3399

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4811
AK
208000000X
Pediatrics Physician
Primary
MD158012
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500647916
OR
Enumeration date
07/03/2007
Last updated
04/30/2024
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