Patrick Edward Henderson in Montesano - Facial Plastic Surgery

Patrick Edward Henderson - NPI 1598720492

Patrick Edward Henderson is a Facial Plastic Surgery in Montesano, Washington. Patrick Edward Henderson practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Patrick Edward Henderson is 1598720492. The last update date is 2020-08-25.

Patrick Edward Henderson's current location address is 319 E Pioneer Ave, Montesano, Washington. You can contact this provider via phone number 3602493300 and fax number 3602493444. The mailing address for Patrick Edward Henderson is 319 E Pioneer Ave, Montesano, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Edward Henderson
Address 319 E Pioneer Ave, Montesano, Washington
Phone Number 3602493300
Fax Number 3602493444
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1598720492
Provider Enumeration Date 2006-04-20
Last Updated Date 2020-08-25

Provider Mailing Address Detail

Address 319 E Pioneer Ave
City Montesano
State Washington (WA)
Post Code 98563
Phone Number 3602493300
Fax Number 3602493444

Provider's Primary Taxonomy Detail

Speciality Facial Plastic Surgery
Taxonomy 207Ys0123X
Licence No 31899
Definition:
An otolaryngologist who specializes in facial plastic surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8647 AZ STATE LICENSE
1318997 CO --
31899 CO STATE LICENSE NUMBER

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FAQs about Patrick Edward Henderson

What is the unique identification code assigned to Patrick Edward Henderson by the Centers for Medicare & Medicaid Services?

The Patrick Edward Henderson has been issued the NPI (National Provider Identifier) 1598720492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Patrick Edward Henderson is geographically located?

The Patrick Edward Henderson is physically situated at the following location: 319 E Pioneer Ave, Montesano, WA, 98563.

What is Patrick Edward Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Patrick Edward Henderson is Facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Ys0123X.

On what date did Patrick Edward Henderson receive its 1598720492 assignment from the Centers for Medicare & Medicaid Services?

The Patrick Edward Henderson was assigned its 1598720492 on 2006-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information pertaining to Patrick Edward Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-25.

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