Individual
DR. ABBY P. HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
Mailing address
600 SW COLUMBIA ST STE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD175608
OR
2080A0000X
Pediatric Adolescent Medicine Physician
MD175608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715604
—
OR
Enumeration date
04/17/2013
Last updated
02/26/2018
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