Derek Henderson

Physician Assistant · Everett, WA

Individual Active NPI

NPI number 1871038109

Practice location

3726 Broadway Ste 201
Everett, WA 98201-3788
Phone
(425) 317-9119

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NPI record

NPI
1871038109
Entity type
Individual (Type 1)
Enumeration date
December 22, 2016
Last updated
February 19, 2021
Certified
February 19, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1680 NH
Physician Assistant 363A00000X — —

Other practice locations (2)

  • 1700 13th St, Everett, WA 98201-1689 · (425) 261-2000
  • 14989 Harvest Rd, Glencoe, MN 55336-7505 · (320) 293-9466

About Derek Henderson

Derek Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3726 Broadway Ste 201, Everett, WA 98201-3788. The NPI number 1871038109 was assigned on December 22, 2016 and the record was last updated on February 19, 2021.

Derek Henderson lists a license in the registry: #1680 (NH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Henderson?

The NPI number is 1871038109.

What is the phone number of Derek Henderson?

The phone number listed for the practice location is (425) 317-9119.

Where is Derek Henderson located?

3726 Broadway Ste 201, Everett, WA 98201-3788.

What is the taxonomy code for Derek Henderson?

The primary taxonomy code is 363A00000X – Physician Assistant; 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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