MARIE HENDERSON (NPI# 1831730068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831730068 |
| Entity Type | Individual |
| Full Name | MARIE HENDERSON |
| Practice Address |
12495 Sw 112th Ave Tigard OR 97223-4002 |
| Practice Telephone | 9716453612 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346630795 | Marie Henderson | Internal Medicine | 101 S Bedford Rd, Suite 413, Mount Kisco, NY 10549 | 2015-01-23 |
| 1013984608 | Marie C Henderson | Advanced Practice Midwife | 55 Fruit Street, Yaw 4, Boston, MA 02114-3117 | 2006-03-02 |
| Street Address |
12495 SW 112TH AVE |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1477199537 | Shane A Marx | Technician | 6200 Poplar Ln, Independence, OR 97351-9659 | 2019-11-25 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARIE HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.