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1588231690
CHARLES A HENDERSON
PORTLAND, OR
NPI
1588231690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200241980RN)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
CHARLES A HENDERSON RN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
CHARLES A HENDERSON RN
1905 SE 175TH CT
VANCOUVER, WA 98683
Phone number: 503-703-5414
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