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Individual

MR. DONALD HENSCHEL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, PMHNP

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
4808 SW OLESON RD APT E, PORTLAND, OR 97225-1435

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201507165RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201706018NP-PP
OR

Other

Enumeration date
02/07/2016
Last updated
08/04/2017
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