Individual
DR. RICHARD LYLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 CHASE AVE, ORTHOPEDICS, WALLA WALLA, WA 99362-2924
(509) 522-5820
(509) 522-5570
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00046369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437129947
—
WA
05
—
240152
—
OR
Enumeration date
01/25/2006
Last updated
05/25/2021
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