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Individual

DR. ANITA RUTH HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
236 NW KINGWOOD AVE, SUITE B, REDMOND, OR 97756-1324
(541) 548-7134
(541) 278-8350
Mailing address
1925 NW 2ND ST, BEND, OR 97703-1249
(541) 977-7754

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C54649
CA
207Q00000X
Family Medicine Physician
Primary
MD27129
OR

Other

Enumeration date
12/06/2005
Last updated
03/17/2017
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