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Philip H. Henderson Iii
Specialist in Longview, Washington
NPI 1710154281

Philip H. Henderson Iii is a Specialist based in Longview, WA. Philip H. Henderson Iii practices in Longview, WA. The NPI Number for Philip H. Henderson Iii is 1710154281 and holds a License No. MD00018570 (Washington).

The current practice location address for Philip H. Henderson Iii is 790 14Th Ave, Longview, WA and can be reached out via phone at 360-423-2450 and via fax at 360-425-4969.

Location: 790 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710154281
Provider Name
Philip H. Henderson Iii
Credential
Provider Entity Type
Organization
Address
790 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-423-2450
Fax Number
360-425-4969
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1662907 05 WA
AB33113 01 WA MEDICARE GROUP PIN
institution
Provider Business Practice Location Address Details
Address
790 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-2450
Fax Number
360-425-4969
person
Provider Business Mailing Address Details
Address
790 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-2450
Fax Number
360-425-4969
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00018570 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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