Individual
ANDREW MUNSON HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
(503) 535-3868
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
(503) 535-3868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201392154NP-PP
OR
Other
Enumeration date
09/05/2013
Last updated
03/18/2017
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