Karla Hennebold, MD

Pediatrics Physician · Hillsboro, OR

Individual Active NPI

NPI number 1265535694

Practice location

19400 NW Evergreen PWY
Hillsboro, OR 97124-7031
Phone
(503) 645-2762

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NPI record

NPI
1265535694
Entity type
Individual (Type 1)
Enumeration date
September 7, 2006
Last updated
July 31, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD24979 OR
Pediatrics Physician 208000000X MD00044576 WA

Mailing address

19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Phone
(503) 645-2762

About Dr. Hennebold

Karla Hennebold, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 19400 NW Evergreen PWY, Hillsboro, OR 97124-7031. The NPI number 1265535694 was assigned on September 7, 2006 and the record was last updated on July 31, 2007.

Dr. Hennebold lists 2 licenses in the registry: #MD24979 (OR) for Pediatrics Physician; #MD00044576 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Karla Hennebold, MD?

The NPI number is 1265535694.

What is the phone number of Dr. Hennebold?

The phone number listed for the practice location is (503) 645-2762.

Where is Dr. Hennebold located?

19400 NW Evergreen PWY, Hillsboro, OR 97124-7031.

What is the taxonomy code for Dr. Hennebold?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

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.

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