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SPENCER TUCKER SHORT
NPI 1164074217
Counselor - Mental Health in Lake Oswego, OR

Active since July 09, 2019
2507 CHRISTIE DR, LAKE OSWEGO, OR 97034(503) 635-3416 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Jul 9, 2019 (2 updates tracked since 2019).

About Spencer Tucker Short NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER TUCKER SHORT (NPI 1164074217) is an individual mental health provider in Lake Oswego, Oregon and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1164074217
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSPENCER TUCKER SHORT
Location Address2507 CHRISTIE DRLake Oswego, OR 97034
Mailing AddressPo Box 368Marylhurst, OR 97036-0368 · (503) 635-3416
Phone(503) 635-3416
Sole ProprietorNo
Enumeration DateJuly 9, 2019
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1164074217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2507 CHRISTIE DR, Lake Oswego, OR 97034
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAQUELYN VICTORIA REYES ALONZO
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
STEPHANIE MICHELLE LEWIS
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
RILEY FOY
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
MAKILA BOSTON SPENCER
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
MISS ALYSON ANNE DZIEDZIC MSW
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 675-2212
ADONNA ROGERS
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
LINDSEY REGIER
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 635-3416
KRISTIN MARIE LAUS MA, LPC
Counselor (Mental Health)
2507 CHRISTIE DR
LAKE OSWEGO, OR 97034
Clackamas County (503) 258-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Short's NPI number?

The NPI number for Spencer Short is 1164074217. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Spencer Short located?

Spencer Short practices at 2507 Christie Dr, Lake Oswego, OR 97034. The listed phone number is (503) 635-3416.

What is Spencer Short's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Spencer Short was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.