DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIE HENDERSON

Active Sole Proprietor

MARIE HENDERSON is a Podiatric Surgery healthcare provider located in TIGARD, Oregon. NPI 1831730068 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · TIGARD, OR

Registration Details

NPI Number
1831730068
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2019 (6.8928095716265 yrs)
Last Updated
Sep 29, 2019
Sole Proprietor
Yes

Practice Information

Address
12495 SW 112TH AVE
TIGARD, OR, 972234002
Browse OR providers · Browse ZIP 97223
Phone
9716453612
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.