Spencer, Scott Simner

Spencer, Scott Simner is an individual health care provider with primary practice located at 2701 Nw Vaughn St. Suite 360, Portlan OR 97210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spencer, Scott Simner can be contacted via phone (503) 227-0671.

Contact Information

Primary practice address
2701 Nw Vaughn St. Suite 360 Portlan OR 97210
Fax: (503) 227-0676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4811 Alaska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD158012 Oregon

Profile Details

NPI number 1417155391
LBN Legal business name Spencer, Scott Simner
Credentials M.D, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Apr 30th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417155391 NPPES
Oregon MEDICAID 500647916

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