Individual
BECCA D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1413 CHARNELTON ST, EUGENE, OR 97401-3906
(541) 777-8805
Mailing address
1413 CHARNELTON ST, EUGENE, OR 97401-3906
(541) 777-8805
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750083NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500802393
—
OR
Enumeration date
07/19/2007
Last updated
03/01/2022
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