Individual
ALEXANDER C HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9828 E BURNSIDE ST STE 2503860, PORTLAND, OR 97216-2354
(503) 254-3424
Mailing address
9828 E BURNSIDE ST, STE 250, PORTLAND, OR 97216
(503) 254-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62334
OR
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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