Individual
KAREN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1578
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00046368
WA
208M00000X
Hospitalist Physician
Primary
MD00046368
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8460636
—
WA
Enumeration date
06/08/2005
Last updated
03/10/2022
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