Dr Spencer L Griffith Llc | |
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 | |
(503) 781-9085 | |
(866) 454-1261 |
Full Name | Dr Spencer L Griffith Llc |
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Speciality | Psychologist |
Location | 1500 Nw Bethany Blvd Ste 200, Beaverton, Oregon |
Authorized Official Name and Position | Spencer L Griffith (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 5037819085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Spencer L Griffith Llc 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (503) 781-9085 | Dr Spencer L Griffith Llc 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (503) 781-9085 |
NPI Number | 1831952290 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Medicare PECOS PAC ID | 4688017916 |
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Medicare Enrollment ID | O20240203000095 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831952290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Spencer Griffith |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154515161 PECOS PAC ID: 1951624477 Enrollment ID: I20150108000096 |
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