MASON D SPONG

PORTLAND, OR
NPI1255193785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  214752)
Enumeration Date2024-01-30
Last Update Date2024-05-30
Business Address
MASON D SPONG PA-C
2701 NW VAUGHN ST STE 470
PORTLAND, OR 97210-5326
Phone number: 503-751-2216
Mailing Address
MASON D SPONG PA-C
3265 NE ALBERTA ST
PORTLAND, OR 97211-7040
Phone number: 985-264-4859
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