Henderson, Richelle April

Henderson, Richelle April is an individual health care provider with primary practice located at 185 N 4Th St , Saint Helens OR 97051-1535. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henderson, Richelle April can be contacted via phone (503) 366-4540.

Contact Information

Primary practice address
185 N 4Th St Saint Helens OR 97051-1535
Phone: (503) 366-4540
Fax: (503) 366-4526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06-07-24 Oregon

Profile Details

NPI number 1366639940
LBN Legal business name Henderson, Richelle April
Credentials C.A.D.C. I
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366639940 NPPES
Oregon MEDICAID 195164

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