Individual
CATHERINE CHAU HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239
(800) 452-3563
(503) 494-4447
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201392033NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664031
—
OR
Enumeration date
09/05/2013
Last updated
09/16/2021
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