Provider Demographics
NPI:1689837676
Name:SPINA, LINDSAY ANNE (MA)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ANNE
Last Name:SPINA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SE 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1234
Mailing Address - Country:US
Mailing Address - Phone:503-544-2702
Mailing Address - Fax:
Practice Address - Street 1:129 SE 61ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1234
Practice Address - Country:US
Practice Address - Phone:503-544-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health