Michael Henry, PWS
NPI #1154104800 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1154104800
- Entity Type
- Individual
- Name
- Michael Henry, PWS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- PWS
- Enumeration Date
- Aug 16, 2023
- Last Updated
- Aug 16, 2023
Practice Location
- Address
- 9605 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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