Individual
JOAN R HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 JEFFERSON ST, SEATTLE, WA 98104-2433
(206) 744-4830
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A130696
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD60327051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083870075
—
WA
Enumeration date
07/30/2008
Last updated
11/02/2021
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