Charles A Henrikson
Clinical Cardiac Electrophysiologist
3181 Sw Sam Jackson Park Rd Division Of Cardiology Uhn 62
Portland
, Oregon 97239-3011
Charles A Henrikson
Clinical Cardiac Electrophysiologist
3181 Sw Sam Jackson Park Rd Division Of Cardiology Uhn 62
Portland
, Oregon 97239-3011
(503) 494-8550
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Charles A Henrikson
- 3181 Sw Sam Jackson Park Rd Division Of Cardiology Uhn 62
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 494-8550
- Phone : (503) 494-8750
Second Address
- Charles A Henrikson
- 3181 Sw Sam Jackson Park Rd Division Of Cardiology Uhn 62
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 494-8550
- Phone : (503) 494-8750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | D0056584 | MD |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD155423 | OR |
National Provider Identifier
| NPI | 1235199704 |
|---|---|
| Provider Name | Charles A Henrikson |
| First Address | Portland, OR 97239-3011 |
| Second Address | Portland, OR 97239-3011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 16/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I36604 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.