Henderson, Ian

Henderson, Ian is an individual health care provider with primary practice located at 707 Ne Couch St , Portland OR 97232-2922. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Henderson, Ian can be contacted via phone (503) 233-6090.

Contact Information

Primary practice address
707 Ne Couch St Portland OR 97232-2922
Phone: (503) 233-6090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1306485446
LBN Legal business name Henderson, Ian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 5 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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