Individual
DEREK ARTHUR HENDERLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
36200 PITTSBURG RD, SAINT HELENS, OR 97051-1188
(503) 397-1505
Mailing address
2509 NE FLANDERS ST APT 312, PORTLAND, OR 97232-3193
(503) 380-0071
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC180963
OR
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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