Individual
LORIS HWANG SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A60237
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD221474
OR
208D00000X
General Practice Physician
MD221474
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8209710
—
WA
01
—
A60237
CA MEDICAL LICENSE
CA
Enumeration date
01/31/2008
Last updated
09/09/2024
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