Individual
TERRANCE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(707) 523-2242
Mailing address
1097 OSPREY DR, UMPQUA, OR 97486-9738
(707) 331-8409
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/06/2014
Last updated
04/02/2024
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