Irene Winonah C Hendrickson MD

NPI 1134202310 - Internal Medicine - 207R00000X

NPI Details
NPI 1134202310
Gender Female
Enumeration Date 10/23/2006
Last Updated 02/13/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
9205 SW BARNES RD
MT2800
PORTLAND OR, 97225-6603, US
Phone (503) 216-2621
Fax
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD24727
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According to our database, Irene Winonah C Hendrickson MD NPI is 1134202310, taxonomy code is 207R00000X and license number is MD24727, license state is located at Oregon. Irene Winonah C Hendrickson MD physically located at 9205 Sw Barnes Rd, Portland OR, 97225-6603. NPI Number Irene Winonah C Hendrickson MD has the Individual type.

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1134202310 NPI number is provided on an as is basis without warranty of any kind. 1134202310 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Winonah C Hendrickson MD are for informational purposes only.