Individual
DEREK HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
Mailing address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1680
NH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/22/2016
Last updated
02/19/2021
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