CHARLES A HENDERSON

PORTLAND, OR
NPI1588231690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200241980RN)
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
CHARLES A HENDERSON RN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
Mailing Address
CHARLES A HENDERSON RN
1905 SE 175TH CT
VANCOUVER, WA 98683
Phone number: 503-703-5414