Andrew Henderson, PA
Physician Assistant in Bend, OR. Individual provider (NPI-1).
NPI number1164043972
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1164043972
- Entity type
- Individual (NPI-1)
- Name
- Andrew Henderson
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA207932 | OR | Yes |
Practice location
2200 Ne Neff Rd Ste 302Bend, OR 97701-4279
Phone 541-706-6915 · Fax 541-706-6733
Mailing address
3355 Riverbend Dr Ste 300Springfield, OR 97477-8800
Phone 541-868-9303 · Fax 541-868-9306
Other practice locations
3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Springfield, OR 97477-8800
Phone 541-868-9303 · Fax 541-868-9306
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