Individual provider · Type 1 NPI

Bethesda Spencer-Canton

Specialist · Portland, OR

NPI number 1417470717 Active

Practice location

909 N Beech St
Portland, OR 97227-1198

Call (801) 558-5242 Map

Mailing address

909 N Beech St Unit 208
Portland, OR 97227-1260

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBAP-E-10228120 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417470717

Bethesda Spencer-Canton's National Provider Identifier is 1417470717, issued on Jul 19, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2024.