SPENCER TUCKER SHORT

LAKE OSWEGO, OR
NPI1164074217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-09
Last Update Date2021-11-08
Business Address
SPENCER TUCKER SHORT
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Phone number: 503-635-3416
Mailing Address
SPENCER TUCKER SHORT
PO BOX 368
MARYLHURST, OR 97036-0368
Phone number: 503-635-3416
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