Individual
DR. PHYLLIS JO HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(808) 575-4084
(509) 575-4234
Mailing address
20980 STATE ROUTE 410, NACHES, WA 98937-9173
(509) 658-1776
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
26126
WA
2084P0800X
Psychiatry Physician
WA26126
WA
Other
Enumeration date
05/21/2007
Last updated
01/04/2024
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