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Contact Information

JENIFER L HENDERSON, MD
2011 NW MYHRE PL
SILVERDALE, WA98383-8561
 Phone: 360-830-1755
 Fax: 360-830-1782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JENIFER L HENDERSON · (Female)

NPI Number 1366574501
Status Active
Credentials MD
Entity Individual
Enumeration date 03/12/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00037936
  • WA Medicaid 8252181
  • Other 8918HE REGENCE
  • WA Other 242391 LABOR & INDUSTRIES
Hospital affiliation(s)
  • HARRISON MEDICAL CENTER - (Acute Care)
    2520 CHERRY AVENUE
    BREMERTON, WA 98310
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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