Phyllis Jo Henderson in Yakima - Addiction Medicine
Phyllis Jo Henderson - NPI 1487863999
Phyllis Jo Henderson is a Addiction Medicine in Yakima, Washington. Phyllis Jo Henderson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Phyllis Jo Henderson is 1487863999. The last update date is 2008-03-12.
Phyllis Jo Henderson's current location address is 418 S 44th Ave, Yakima, Washington. You can contact this provider via phone number 5092490105 and fax number 5092490035. The mailing address for Phyllis Jo Henderson is 418 S 44th Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Jo Henderson |
|---|---|
| Address | 418 S 44th Ave, Yakima, Washington |
| Phone Number | 5092490105 |
| Fax Number | 5092490035 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487863999 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | 418 S 44th Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083303 |
| Phone Number | 5092490105 |
| Fax Number | 5092490035 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 26126 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Phyllis Jo Henderson by the Centers for Medicare & Medicaid Services?
The Phyllis Jo Henderson has been assigned the NPI (National Provider Identifier) 1487863999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Phyllis Jo Henderson is physically located?
The Phyllis Jo Henderson is situated at the following address: 418 S 44Th Ave, Yakima, WA 989083303.
What is the Phyllis Jo Henderson's specialty and taxonomy code?
The Phyllis Jo Henderson's specialty is Addiction Medicine, and the corresponding taxonomy code is 2084A0401X.
When was the Phyllis Jo Henderson's 1487863999 issued?
The Phyllis Jo Henderson's 1487863999 was issued on 2007-05-21.
When was the Phyllis Jo Henderson's information last updated?
The Phyllis Jo Henderson's information was last updated on 2008-03-12.