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GORDON W HENDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1706 WASHINGTON WAY, LONGVIEW, WA 98632-2952
(604) 239-5803
(360) 423-6230
Mailing address
PO BOX 1338, LONGVIEW, WA 98632-7785
(360) 423-0390
(360) 577-3865

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61369633
WA

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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