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Individual

ADINA H HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
(541) 747-9870

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202207983NP-PP
OR
363LF0000X
Family Nurse Practitioner
2018035089
MO
363LF0000X
Family Nurse Practitioner
202207983NP-PP
OR

Other

Enumeration date
05/23/2022
Last updated
07/23/2025
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