Willie Faye Henderson
NPI #1154686830 in Springfield, Oregon
Provider Information
- NPI Number
- 1154686830
- Entity Type
- Individual
- Name
- Willie Faye Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 9, 2012
- Last Updated
- Jul 9, 2012
Practice Location
- Address
- 2073 OLYMPIC ST
- Address 2
- SUITE 301
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-3413
- Phone
- (541) 682-3550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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