Henderson, Beau
Henderson, Beau is an sole proprietor health care provider with primary practice located at 2350 Se Territorial Rd , Canby OR 97013-9732. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Henderson, Beau can be contacted via phone (360) 737-3532.Contact Information
Primary practice address
2350 Se Territorial Rd
Canby OR 97013-9732
Phone: (360) 737-3532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1285221697 |
|---|---|
| LBN Legal business name | Henderson, Beau |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2020 |
| Last updated | May 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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