RUSSELL LOYD HENDERSON

BEND, OR
NPI1336486943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201401588NP-PP)
Enumeration Date2013-01-16
Last Update Date2018-07-11
Business Address
Mr. RUSSELL LOYD HENDERSON FNP-BC
595 SW BLUFF DR STE A
BEND, OR 97702
Phone number: 541-728-2063
Mailing Address
Mr. RUSSELL LOYD HENDERSON FNP-BC
PO BOX 70673
SPRINGFIELD, OR 97475-0133
Phone number: 541-248-9556
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