institution
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. You can also correspond with Philip H. Henderson Iii through the mailing address at 790 14TH AVE, LONGVIEW, WA - 98632-2315 (mailing address contact number: 360-423-2450).

Location: 790 14Th Ave, Longview, WA, 98632-2315
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
State
Zip
98632-2315
Phone Number
360-423-2450
Fax Number
360-425-4969
person
Provider Business Mailing Address Details
Address
790 14Th Ave
City
State
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
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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