Individual
MS. PATRICIA LEIGH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 SW 93RD AVE, PORTLAND, OR 97225-2815
(503) 860-0619
Mailing address
3600 SW 93RD AVE, PORTLAND, OR 97225-2815
(503) 297-2649
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00508
OR
Other
Enumeration date
08/04/2006
Last updated
06/12/2013
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