Individual
PHILLIP WILLIAM HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6424 SW LOOP DR, PORTLAND, OR 97221-3386
(503) 704-2645
Mailing address
6424 SW LOOP DR, PORTLAND, OR 97221-3386
(503) 704-2645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1685
OR
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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