SPENCER PRADITH OUNAPHOM

TIGARD, OR
NPI1679116933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-10-18
Last Update Date2019-10-18
Business Address
SPENCER PRADITH OUNAPHOM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
SPENCER PRADITH OUNAPHOM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690