WILLIE HENDERSON
Licensed Practical Nurse
Active
Individual
NPI: 1154686830
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 6560 (OR) |
Frequently Asked Questions
NPI 1154686830 is the National Provider Identifier for WILLIE HENDERSON, a Licensed Practical Nurse provider located in Springfield, OR. This NPI was enumerated on July 9, 2012.
WILLIE HENDERSON practices at 2073 OLYMPIC ST, SUITE 301, Springfield, OR 97477.
Quick Facts
- NPI
- 1154686830
- Type
- Individual
- Enumerated
- Jul 9, 2012
- Last Updated
- Jul 9, 2012
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