Individual
KIMBERLY ANN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 808-7244
Mailing address
2137 JACKSON ST, NORTH BEND, OR 97459-2711
(760) 717-5935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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