Hendricks, Abby P.

Hendricks, Abby P. is an individual health care provider with primary practice located at 2084 Ne Professional Ct , Bend OR 97701-6077. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hendricks, Abby P. can be contacted via phone (541) 383-3005.

Contact Information

Primary practice address
2084 Ne Professional Ct Bend OR 97701-6077
Phone: (541) 383-3005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD175608 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD175608 Oregon

Profile Details

NPI number 1982048211
LBN Legal business name Hendricks, Abby P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Feb 26th, 2018 - about 7 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 1982048211 NPPES
Oregon MEDICAID 500715604

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