Individual
SHANNON RAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1270
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1270
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
188024
OR
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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