Individual
SPENCER CRAIG DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
(541) 975-2720
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
(541) 975-2720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60754
OR
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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