Spencer Tucker Short
NPI #1164074217 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1164074217
- Entity Type
- Individual
- Name
- Spencer Tucker Short
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Nov 8, 2021
Practice Location
- Address
- 2507 CHRISTIE DR
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034
- Phone
- (503) 635-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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