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Spencer Tucker Short
Mental Health Counselor in Lake Oswego, Oregon
NPI 1164074217

Spencer Tucker Short is a Mental Health Counselor based in Marylhurst, OR and is specialized in Mental Health. Spencer Tucker Short practices in Lake Oswego, OR. The NPI Number for Spencer Tucker Short is 1164074217 and holds a License No. (Oregon).

The current practice location address for Spencer Tucker Short is 2507 Christie Dr, Lake Oswego, OR and can be reached out via phone at 503-635-3416.

Location: 2507 Christie Dr, Lake Oswego, OR, 97036-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164074217
Provider Name
Spencer Tucker Short
Credential
Provider Entity Type
Individual
Gender
Male
Address
2507 Christie Dr, Lake Oswego, OR, 97036-0368
Phone Number
503-635-3416
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2507 Christie Dr
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Christie Dr
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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