Henderson, Russell Loyd

Henderson, Russell Loyd is an individual health care provider with primary practice located at 595 Sw Bluff Dr Ste A , Bend OR 97702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Henderson, Russell Loyd can be contacted via phone (541) 728-2063.

Contact Information

Primary practice address
595 Sw Bluff Dr Ste A Bend OR 97702
Phone: (541) 728-2063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201401588NP-PP Oregon

Profile Details

NPI number 1336486943
LBN Legal business name Henderson, Russell Loyd
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2013
Last updated Jul 11th, 2018 - about 8 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.

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