Henry, Becca D
Henry, Becca D is an individual health care provider with primary practice located at 1413 Charnelton St , Eugene OR 97401-3906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Henry, Becca D can be contacted via phone (541) 777-8805.Contact Information
Primary practice address
1413 Charnelton St
Eugene OR 97401-3906
Phone: (541) 777-8805
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200750083NP | Oregon |
Profile Details
| NPI number | 1245430198 |
|---|---|
| LBN Legal business name | Henry, Becca D |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Mar 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245430198 | NPPES |
| Oregon | MEDICAID | 500802393 |
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