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Contact Information

MATTHEW HENDERSON
101 W 8TH AVE
SPOKANE, WA99204-2307
 Phone: 509-474-3131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW HENDERSON · (Male)

NPI # 1639438484
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A131062
  • WA License # MD60751680
Hospital affiliation(s)
  • PROVIDENCE HOLY FAMILY HOSPITAL - (Acute Care)
    5633 NORTH LIDGERWOOD
    SPOKANE, WA 99208
  • PROVIDENCE SACRED HEART MEDICAL CENTER - (Acute Care)
    101 WEST 8TH AVENUE
    SPOKANE, WA 99204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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