MR. SPENCER KEANE WINCHESTER RN NPI 1407578313

NPI Information

  • NPI: 1407578313
  • Provider Name: MR. SPENCER KEANE WINCHESTER, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 NE MLK
    PORTLAND, OR
    ZIP 97232
  • Phone: (301) 639-8283

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NPI Details

MR. Spencer Keane Winchester, RN is a psychiatric/mental health nurse practitioner in Portland, OR with 2 years of experience. MR. Spencer Keane Winchester, RN NPI is 1407578313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 NE MLK
PORTLAND, OR
ZIP 97232-941
Phone: (301) 639-8283

The NPI 1407578313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2022 and was last updated on 7/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health10031841OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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