Individual
MERTICE MARIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4778 CHARMALEE CT NE, SALEM, OR 97305-3028
(503) 238-0769
Mailing address
4778 CHARMALEE CT NE, SALEM, OR 97305-3028
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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