Individual
PATRICIA IRENE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(800) 813-2000
Mailing address
1511 N JUNIPER PL, CANBY, OR 97013-3171
(503) 270-7073
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7030
OR
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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