| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4688017916 |
|---|---|
| Medicare Enrollment ID | O20240203000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831952290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Spencer Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154515161 PECOS PAC ID: 1951624477 Enrollment ID: I20150108000096 |
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