Individual
DR. JILL ELIZABETH SPENDAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1020 SW TAYLOR ST, SUITE 260, PORTLAND, OR 97205-2543
(503) 242-3521
(503) 222-3741
Mailing address
1020 SW TAYLOR ST, SUITE 260, PORTLAND, OR 97205-2543
(503) 242-3521
(503) 222-3741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1574
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022952
OMAP PROVIDER NUMBER
OR
Enumeration date
06/09/2006
Last updated
07/08/2007
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