Henninger, Katheryn Louise

Henninger, Katheryn Louise is an individual health care provider with primary practice located at 51 Sw Lee St , Newport OR 97365-3823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Henninger, Katheryn Louise can be contacted via phone (541) 574-5960.

Contact Information

Primary practice address
51 Sw Lee St Newport OR 97365-3823
Phone: (541) 574-5960
Fax: (844) 760-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 087000310N6 Oregon

Profile Details

NPI number 1497842710
LBN Legal business name Henninger, Katheryn Louise
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated May 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497842710 NPPES
Oregon MEDICAID 500742691

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