Individual
JENIFER LEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1755
(360) 830-1782
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 830-1755
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
MD00037936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242391
LABOR & INDUSTRIES
WA
05
—
8252181
—
WA
01
—
8918HE
REGENCE
—
Enumeration date
03/12/2007
Last updated
03/07/2023
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