Individual
JACQUELINE MARIE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17432 STATE ROUTE 9 SE, SNOHOMISH, WA 98296-8451
(425) 404-7800
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61318996
WA
207Q00000X
Family Medicine Physician
ML61067671
WA
390200000X
Student in an Organized Health Care Education/Training Program
ML61067671
WA
Other
Enumeration date
06/05/2020
Last updated
09/28/2023
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