Wesley Scott Henricksen

NPI #1801195375 in Longview, Washington

Provider Information

NPI Number: 1801195375
Entity Type: Individual
Name: Wesley Scott Henricksen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Mar 22, 2011
Last Updated: Mar 9, 2017

Practice Location

Address: 971 11TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2503
Phone: (360) 577-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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