Individual
JULIA PHIPPS SPEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
417 SW 117TH AVE STE 200, PORTLAND, OR 97225-5924
(503) 216-9400
(503) 216-9499
Mailing address
2525 NW LOVEJOY ST, STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
(503) 223-1947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA195712
OR
Other
Enumeration date
06/04/2018
Last updated
11/10/2021
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