Individual
MR. JONATHAN P HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC, MPH
Contact information
Practice address
402 KARL RD NE, MOSES LAKE, WA 98837-9458
(509) 707-3317
Mailing address
402 KARL RD NE, MOSES LAKE, WA 98837-9458
(509) 707-3317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226041
L&I
WA
05
—
849537
—
WA
Enumeration date
04/28/2006
Last updated
11/27/2023
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