WILLIE FAYE HENDERSON

NPI: 1154686830 · Individual · Active

Primary Specialty

Licensed Practical Nurse

Practice Location

2073 OLYMPIC ST
SUITE 301
SPRINGFIELD, OR 97477-3413 Map ↗
Phone: 541-682-3550

All Specialties & Licenses

  • Licensed Practical Nurse Primary (license: 6560, OR)

NPI Registration

Enumerated: 2012-07-09

Last CMS Update: 2012-07-09