JERAD R SPENCER

PORTLAND, OR
NPI1487960654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201042469RN)
Enumeration Date2010-08-26
Last Update Date2010-08-26
Business Address
-- JERAD R SPENCER RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-4703
Mailing Address
-- JERAD R SPENCER RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number:
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