Hendrickson, David

Hendrickson, David is an individual health care provider with primary practice located at 847 Ne 19Th Ave Ste 100 , Portland OR 97232-2684. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Hendrickson, David can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Ste 100 Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1912265356
LBN Legal business name Hendrickson, David
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Nov 28th, 2017 - about 9 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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