Individual
STEPHANIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5800
(541) 706-5911
Mailing address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(541) 681-8586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
196063
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2018
Last updated
02/13/2024
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