Dr. Patrick Edward Henderson
Facial Plastic Surgeon
319 E Pioneer Ave
Montesano
, Washington 98563
Dr. Patrick Edward Henderson
Facial Plastic Surgeon
319 E Pioneer Ave
Montesano
, Washington 98563
(360) 249-3444
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Patrick Edward Henderson
- 319 E Pioneer Ave
- Montesano, WA
- Zip : 98563
- Fax : (360) 249-3444
- Phone : (360) 249-3300
Second Address
- Dr. Patrick Edward Henderson
- 319 E Pioneer Ave
- Montesano, WA
- Zip : 98563
- Fax : (360) 249-3444
- Phone : (360) 249-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YS0123X | Facial Plastic Surgeon | 31899 | CO |
| Y | 207YS0123X | Facial Plastic Surgeon | OP60414976 | WA |
National Provider Identifier
| NPI | 1598720492 |
|---|---|
| Provider Name | Dr. Patrick Edward Henderson |
| First Address | Montesano, WA 98563 |
| Second Address | Montesano, WA 98563 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 25/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008647 | STATE LICENSE (01) | AZ |
| 01318997 | (05) | CO |
| 31899 | STATE LICENSE NUMBER (01) | CO |
| E00741 | (02) | CO |
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.