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Individual

DR. DONALD WILLIAM HENLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-8455

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
204678
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD60464124
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01789353
NY
Enumeration date
12/07/2005
Last updated
05/03/2018
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