# MICHAEL D HENDERSON D O LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bachelor Butte Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841477239
- **Authorized official:** DR. MIKE D HENDERSON DO (OWNER)
- **Authorized official phone:** (541) 330-6003

## Contact information

- **Practice address:** 2855 NW CROSSING DR, SUITE 101, BEND, OR 97701-7049
- **Practice address phone:** (541) 330-6003
- **Mailing address:** 2855 NW CROSSING DR, SUITE 101, BEND, OR 97701-7049
- **Mailing address phone:** (541) 330-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO25674 | OR | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 08/05/2008