MICHAEL SPENCER

PORTLAND, OR
NPI1932506888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  06-03-43)
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
-- MICHAEL SPENCER
1949 SE 122ND AVE
PORTLAND, OR 97233-1303
Phone number: 503-253-5954
Mailing Address
-- MICHAEL SPENCER
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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