Individual
WINNIE W. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
3783 INTERNATIONAL CT STE 200, SPRINGFIELD, OR 97477-1025
(541) 735-3778
(541) 735-3772
Mailing address
3783 INTERNATIONAL CT STE 200, SPRINGFIELD, OR 97477-1025
(541) 735-3778
(541) 735-3772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD150994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500621661
—
OR
Enumeration date
05/19/2007
Last updated
04/28/2023
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