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NPI Code Detail

MEDICARE: DR. PAULA J SPENCER DO

MEDICARE: DR. PAULA J SPENCER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO20028OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518953975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA J SPENCER DO
Provider Business Mailing Address
First Line : 444 NW ELKS DR
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-3745
Country : US
Telephone Number : 541-754-1150
Fax Number :
Provider Business Practice Location Address
First Line : 633 N ALBANY RD NW
Second Line :
City : ALBANY
State : OR
Zip : 97321-1433
Country : US
Telephone Number : 541-926-3441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 01/12/2026

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