Individual
DANIEL E HENDRICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2314 NW KINGS BLVD STE A, CORVALLIS, OR 97330-3925
(541) 758-5047
(541) 758-3713
Mailing address
PO BOX 1418, CORVALLIS, OR 97339-1418
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0101237463
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD29258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500606405
—
OR
Enumeration date
05/21/2007
Last updated
01/28/2021
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