Individual
GEOFFREY DOUGLAS HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 VINE AVE, KLAMATH FALLS, OR 97601-3362
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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