Individual
ANDREAS HENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
783 NW NAITO PKWY APT 502, PORTLAND, OR 97209-4755
(619) 733-4150
Mailing address
783 NW NAITO PKWY APT 502, PORTLAND, OR 97209-4755
(619) 733-4150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
O-1983
ID
208600000X
Surgery Physician
Primary
TL.0005906
CO
Other
Enumeration date
04/27/2016
Last updated
05/21/2024
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