DAVID HENDRICKSON

PORTLAND, OR
NPI1912265356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies372600000X Adult Companion
Enumeration Date2012-04-23
Last Update Date2017-11-28
Business Address
DAVID HENDRICKSON BA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
DAVID HENDRICKSON BA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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