Individual
MARJORIE L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
508 S 4TH AVE, YAKIMA, WA 98902-3547
(509) 574-6139
(509) 574-6138
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00019316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033422
—
WA
Enumeration date
08/04/2006
Last updated
03/08/2017
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