Individual provider · Type 1 NPI

Mary Ellen Spencer, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1124619283 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-4500 Map

Fax (503) 494-1678

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 · (212) 241-6500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X025656 (NY)
Nurse Practitioner 363L00000X025656 (NY)
Medical Physician Assistant Primary 363AM0700XPA217576 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1124619283

Mary Ellen Spencer, PA-C's National Provider Identifier is 1124619283, issued on Feb 1, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Apr 9, 2024.