Patricia L Henderson (NPI# 1265440309, PAC ID# 8123093937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1265440309 |
PAC ID by PECOS | 8123093937 |
Professional Enrollment ID | I20040826000448 |
Full Name | Patricia L Henderson |
Address |
3600 Sw 93rd Ave Portland OR 97225-2815 |
Gender | F |
Credential | PA |
Graduation Year | 1995 |
Primary Specialty | PHYSICIAN ASSISTANT |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3600 Sw 93rd Ave, Portland, OR 97225-2815 |
Street Address |
3600 SW 93RD AVE |
City | PORTLAND |
State | OR |
Zip | 97225-2815 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
Find all physicians in zip 97225 |
City | PORTLAND |
Zip Code | 97225 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | PORTLAND + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.