Henderson, Phyllis Jo

Henderson, Phyllis Jo is an sole proprietor health care provider with primary practice located at 402 S 4Th Ave , Yakima WA 98902-3546. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Henderson, Phyllis Jo can be contacted via phone (808) 575-4084.

Contact Information

Primary practice address
402 S 4Th Ave Yakima WA 98902-3546
Phone: (808) 575-4084
Fax: (509) 575-4234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 26126 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X WA26126 Washington

Profile Details

NPI number 1487863999
LBN Legal business name Henderson, Phyllis Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jan 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers