Organization
MICHAEL D HENDERSON D O LLC
Active
Other names
Bachelor Butte Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE D HENDERSON DO (OWNER)
(541) 330-6003
Entity
Organization
Contact information
Practice address
2855 NW CROSSING DR, SUITE 101, BEND, OR 97701-7049
(541) 330-6003
Mailing address
2855 NW CROSSING DR, SUITE 101, BEND, OR 97701-7049
(541) 330-6003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO25674
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287780
—
OR
Enumeration date
01/28/2008
Last updated
08/05/2008
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