# DR. KRISTA J HENDRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902028368
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD29283 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116017465 | VA | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500612460 | — | OR |
| 05 | — | 8557464 | — | WA |
| 01 | — | P00830754 | RAILROAD MEDICARE | OR |