MARY L. HENDERSON (NPI# 1881618163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881618163 |
| Entity Type | Individual |
| Full Name | MARY L. HENDERSON |
| Credential | RNP |
| Practice Address |
1395 Liberty St Se Salem OR 97302-4273 |
| Practice Telephone | 5033992444 |
| Practice Fax Number | 5035813960 |
| Mailing Telephone | 5033992444 |
| Mailing Fax Number | 5035813960 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0750348367 WHCNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699326843 | Mary Ann Henderson | Technician | 339 Mason Blvd, Jackson, MS 39212-5151 | 2019-09-27 |
| 1801379599 | Mary Pullias Henderson | Nurse Practitioner | 2788 Murfreesboro Road, Antioch, TN 37013-2004 | 2018-09-10 |
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1467832485 | Mary Ellen Henderson | Registered Nurse | 1038 Davis Rd, West Falls, NY 14170-9781 | 2015-06-04 |
| 1003305798 | Mary Henderson | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-05-08 |
| 1225547508 | Mary Kathleen Henderson | Counselor | 393 Main St, Danville, NH 03819-3219 | 2017-09-29 |
| 1285181776 | Mary May Henderson | Nurse Practitioner | 10701 W Research Dr, Wauwatosa, WI 53226-3452 | 2016-09-01 |
| 1538517149 | Mary Henderson | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2016-05-25 |
| 1548616535 | Mary K Henderson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2016-05-09 |
| 1013391762 | Mary Henderson | Nurse Practitioner | 447 Mcalister Rd, Ste 2400, Lincolnton, NC 28092-4114 | 2015-07-13 |
| Street Address |
1395 LIBERTY ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415202 | Salem Womens Clinic, Inc | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-08 |
| 1134616022 | Brms LLC | Naturopath | 1395 Liberty St Se, Salem, OR 97302-4276 | 2018-04-17 |
| 1801230776 | Salem Wellness Clinic | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2013-04-23 |
| 1114292034 | Deborah M Johnson Md PC | Clinic/Center | 1395 Liberty St Se, Salem, OR 97302-4276 | 2012-03-09 |
| 1194911032 | Donna Jean Niemela | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2007-09-24 |
| 1053494294 | Deborah M Johnson | Obstetrics & Gynecology | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-10-23 |
| 1316971955 | Patricia M. Mcbride | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4273 | 2006-07-10 |
| 1487688396 | Elizebeth R. Harmon | Obstetrics & Gynecology | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-10 |
| 1588698187 | Katherine Ellen S. Davidson | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| 1760415202 | Salem Womens Clinic, Inc | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-07-08 |
| 1699764001 | Lucinda Ann Angyal | Nurse Practitioner | 1305 Cannon St Se, Salem, OR 97302-2548 | 2005-10-18 |
| 1679038194 | Glynis Anne Flanigan | Nurse Practitioner | 3825 Wolverine St Ne, Salem, OR 97305-1201 | 2019-02-08 |
| 1306386982 | Kristin Fedorchak | Nurse Practitioner | 45 Stiles Rd, #101, Salem, NH 03079-4808 | 2017-03-02 |
| 1972908838 | Korinne Foster | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2014-11-04 |
| 1801056981 | Kristen Greiten Jamsa | Nurse Practitioner | 1535 State St, Salem, OR 97301-4255 | 2008-06-12 |
| 1194911032 | Donna Jean Niemela | Nurse Practitioner | 1395 Liberty St Se, Salem, OR 97302-4276 | 2007-09-24 |
| 1699829408 | Roberta Helen Van Dyke | Nurse Practitioner | 3180 Center St Ne, Salem, OR 97301-4532 | 2007-01-22 |
| 1013061654 | Patricia Lynn Eich | Nurse Practitioner | 3180 Center St Ne, Salem, OR 97301-4532 | 2007-01-22 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on MARY L. 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.