Willie Faye Henderson

Licensed Practical Nurse · Springfield, OR

Individual Active NPI

NPI number 1154686830

Practice location

2073 Olympic St
Suite 301
Springfield, OR 97477-3413
Phone
(541) 682-3550

Open in Google Maps

NPI record

NPI
1154686830
Entity type
Individual (Type 1)
Enumeration date
July 9, 2012
Last updated
July 9, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 6560 OR

Mailing address

2073 Olympic St
Springfield, OR 97477-3413
Phone
(541) 682-3550

About Willie Henderson

Willie Faye Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 2073 Olympic St, Suite 301, Springfield, OR 97477-3413. The NPI number 1154686830 was assigned on July 9, 2012 and the record was last updated on July 9, 2012.

Willie Henderson lists a license in the registry: #6560 (OR) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Willie Faye Henderson?

The NPI number is 1154686830.

What is the phone number of Willie Henderson?

The phone number listed for the practice location is (541) 682-3550.

Where is Willie Henderson located?

2073 Olympic St, Suite 301, Springfield, OR 97477-3413.

What is the taxonomy code for Willie Henderson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Licensed Practical Nurse providers in Springfield

All Licensed Practical Nurse providers in Springfield, OR →