NPI 1306485446
Ian Henderson
Practice location
- Address
- 707 NE Couch St, Portland, OR 97232-2922
- Phone
- (503) 233-6090
- Mailing address
- 3812 N Borthwick Ave, Portland, OR 97227-1222
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1306485446
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jan 2020
- Record last updated
- 6 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.