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Contact Information

HENRIETTA L MAYUGA, MD
7131 W DESCHUTES AVENUE
SUITE 101
KENNEWICK, WA99336
 Phone: 509-222-1260
 Fax: 509-222-1264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HENRIETTA L MAYUGA · (Female)

NPI # 1497719256
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 05/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00035419
  • WA Medicaid 8211757
  • WA Other 319211600 MEDICARE GROUP #
Hospital affiliation(s)
  • KENNEWICK GENERAL HOSPITAL - (Acute Care)
    900 SOUTH AUBURN STREET
    KENNEWICK, WA 99336
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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