MAXWELL HAROLD HENSHAW

PORTLAND, OR
NPI1275313058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  10008115)
Enumeration Date2023-09-29
Last Update Date2023-09-29
Business Address
MAXWELL HAROLD HENSHAW LPN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-753-4912
Mailing Address
MAXWELL HAROLD HENSHAW LPN
3022 NE 58TH AVE
PORTLAND, OR 97213-3356
Phone number: