Individual
REBECCA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
(503) 215-2478
Mailing address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
(503) 215-2478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12076852
OR
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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