Individual provider · Type 1 NPI

Tanner J. Henderson, DO

Student in an Organized Health Care Education/Training Program · Mount Vernon, WA

NPI number 1659169530 Active

Practice location

819 S 13th St
Mount Vernon, WA 98274-4112

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659169530

Tanner J. Henderson, DO's National Provider Identifier is 1659169530, issued on Apr 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Vernon, WA. The record was last updated on Jul 2, 2025.