Spencer-Canton, Bethesda

Spencer-Canton, Bethesda is an sole proprietor health care provider with primary practice located at 510 Nw 10Th Ave # 15 , Portland OR 97209-3364. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Spencer-Canton, Bethesda can be contacted via phone (801) 558-5242.

Contact Information

Primary practice address
510 Nw 10Th Ave # 15 Portland OR 97209-3364
Phone: (801) 558-5242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X BAP-E-10228120 Oregon

Profile Details

NPI number 1417470717
LBN Legal business name Spencer-Canton, Bethesda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Dec 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers