Individual
DAVID VANCE MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4829 NE MARTIN LUTHER KING BLVD, STE 101, PORTLAND, OR 97211-3351
(503) 283-8133
(503) 289-2312
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4478
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182974
—
OR
Enumeration date
11/25/2005
Last updated
11/09/2007
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