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Individual

TESSA ASHLEIGH HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3270 HILLCREST RD, MEDFORD, OR 97504-7767
(541) 779-1672
(541) 779-0986
Mailing address
708 GARNET ST, REDONDO BEACH, CA 90277-3417
(303) 912-8052

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228694
OR
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/13/2024
Last updated
01/26/2026
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