Henderson, Winnie W.
Henderson, Winnie W. is an individual health care provider with primary practice located at 3783 International Ct Ste 200 , Springfield OR 97477-1025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Henderson, Winnie W. can be contacted via phone (541) 735-3778.Contact Information
Primary practice address
3783 International Ct Ste 200
Springfield OR 97477-1025
Phone: (541) 735-3778
Fax: (541) 735-3772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD150994 | Oregon |
Profile Details
| NPI number | 1235347428 |
|---|---|
| LBN Legal business name | Henderson, Winnie W. |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2007 |
| Last updated | Apr 28th, 2023 - about last year |
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 | 1235347428 | NPPES |
| Oregon | MEDICAID | 500621661 |
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