AUSTIN C HENDERSON

PORTLAND, OR
NPI1699243055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10193366)
Enumeration Date2018-11-04
Last Update Date2018-11-04
Business Address
AUSTIN C HENDERSON RD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-273-5112
Mailing Address
AUSTIN C HENDERSON RD
2022 S IMPERIAL ST
SALT LAKE CITY, UT 84105-3821
Phone number:
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