Individual
DR. DALE PRESTON HENKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4562
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G41486
CA
208000000X
Pediatrics Physician
Primary
MD150386
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC MAIN GROUP NPI
OR
01
—
161133
NBMC MAIN GROUP DMAP
OR
05
—
500630202
—
OR
01
—
93-0635514
NBMC MAIN GROUP TAX ID FOR BILLING
OR
01
—
MD150386
OREON MEDICAL LICENSE
OR
01
—
R0000WFBTV
NBMC MAIN GROUP MEDICARE
OR
Enumeration date
10/07/2008
Last updated
09/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us