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Individual

SPENCER JOSEPH MARSDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
17 N 6TH ST, NYSSA, OR 97913-3477
(541) 372-2606
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9279

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1692
ID
363A00000X
Physician Assistant
Primary
PA191063
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500756900
OR
Enumeration date
12/08/2018
Last updated
01/14/2026
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