Individual
AMBER HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BROADWAY AVE, NORTH BEND, OR 97459-2328
(541) 756-7531
Mailing address
94213 PRIMROSE LN, NORTH BEND, OR 97459-8256
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0014153
OR
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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