Individual
MATTHEW HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(855) 600-5163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60751680
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A131062
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2012
Last updated
07/21/2022
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