Jenne Henderson in Portland - Clinical Child & Adolescent

Jenne Henderson - NPI 1972726206

Jenne Henderson is a Clinical Child & Adolescent in Portland, Oregon. Jenne Henderson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jenne Henderson is 1972726206. The last update date is 2007-07-08.

Jenne Henderson's current location address is 7707 Sw Capitol Hwy, Portland, Oregon. You can contact this provider via phone number 5034528002 and fax number 5034520084. The mailing address for Jenne Henderson is 7707 Sw Capitol Hwy, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenne Henderson
Address 7707 Sw Capitol Hwy, Portland, Oregon
Phone Number 5034528002
Fax Number 5034520084
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1972726206
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7707 Sw Capitol Hwy
City Portland
State Oregon (OR)
Post Code 972192458
Phone Number 5034528002
Fax Number 5034520084

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 1046
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Jenne Henderson

What is the unique 10-digit identifier code assigned to Jenne Henderson by the Centers for Medicare & Medicaid Services?

The Jenne Henderson has been issued the NPI (National Provider Identifier) 1972726206 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jenne Henderson located?

The Jenne Henderson is located at 7707 Sw Capitol Hwy, Portland, OR 972192458.

What is the Jenne Henderson's specialty and taxonomy code?

The Jenne Henderson's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972726206 to Jenne Henderson?

The Centers for Medicare & Medicaid Services assigned the 1972726206 to Jenne Henderson on 2007-04-11.

As of what date were the details related to Jenne Henderson most recently updated or revised?

The information pertaining to Jenne Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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