Henderson, Dennis W
Henderson, Dennis W is an individual health care provider with primary practice located at 880 82Nd Dr , Gladstone OR 97027-1803. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Henderson, Dennis W can be contacted via phone (503) 659-5515.Contact Information
Primary practice address
880 82Nd Dr
Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 659-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1079 | Oregon |
Profile Details
| NPI number | 1699839753 |
|---|---|
| LBN Legal business name | Henderson, Dennis W |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699839753 | NPPES |
| Oregon | MEDICAID | 164936 |
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