Spencer, Mark

Spencer, Mark is an individual health care provider with primary practice located at 1608 Road 44 , Pasco WA 99301-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spencer, Mark can be contacted via phone (509) 543-9820.

Contact Information

Primary practice address
1608 Road 44 Pasco WA 99301-2667
Phone: (509) 543-9820
Fax: (509) 545-6275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD164782 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00022856 Washington

Profile Details

NPI number 1366407181
LBN Legal business name Spencer, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 24th, 2021 - about 3 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 1366407181 NPPES
Washington MEDICAID 1366407181
Washington Other 263783
Washington Other R07056

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