JACOB HENDERSON

PORTLAND, OR
NPI1598993628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD171504)
Enumeration Date2009-06-26
Last Update Date2016-08-19
Business Address
-- JACOB HENDERSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 253-686-4246
Mailing Address
-- JACOB HENDERSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: