Individual
ANDREW CHASE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9020 SW WASHINGTON SQUARE RD STE 570, TIGARD, OR 97223-4477
(503) 862-9086
Mailing address
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10892
OR
Other
Enumeration date
09/19/2018
Last updated
03/06/2023
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