Individual
DR. KENDRA MACKENZIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
101 SW MAIN ST, PORTLAND, OR 97204-3228
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD220488
OR
Other
Enumeration date
03/25/2020
Last updated
02/06/2025
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