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1275313058
MAXWELL HAROLD HENSHAW
PORTLAND, OR
NPI
1275313058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 10008115)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
MAXWELL HAROLD HENSHAW LPN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-753-4912
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Mailing Address
MAXWELL HAROLD HENSHAW LPN
3022 NE 58TH AVE
PORTLAND, OR 97213-3356
Phone number:
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