Hendricks, Krista J

Hendricks, Krista J is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-5472. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Hendricks, Krista J can be contacted via phone (541) 757-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-5472
Phone: (541) 757-5111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116017465 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD29283 Oregon

Profile Details

NPI number 1902028368
LBN Legal business name Hendricks, Krista J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 24th, 2023 - about 2 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 1902028368 NPPES
Washington MEDICAID 8557464
Washington MEDICAID 500612460
Washington Other P00830754

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