Organization
ANDREW HENDERSON DMD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HENDERSON DMD (PRESIDENT)
(503) 862-9086
Entity
Organization
Contact information
Practice address
9020 SW WASHINGTON SQUARE RD STE 570, TIGARD, OR 97223-4477
(503) 862-9086
Mailing address
6414 FROST ST, LAKE OSWEGO, OR 97035-4611
(801) 850-8084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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