Individual
SPENCER DANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
3540 SE 11TH AVE, PORTLAND, OR 97202-2736
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201707933RN
OR
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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