Individual provider · Type 1 NPI

Carmen Henderson, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1982089439 Active

Practice location

3181 SW Sam Jackson Park Rd, UHN62
Portland, OR 97239-3011

Call (503) 494-7400 Map

Fax (503) 494-8550

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA175242 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1982089439

Carmen Henderson, PA-C's National Provider Identifier is 1982089439, issued on Jul 27, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2016.