| Doctor Name: | DR. PATRICK EDWARD HENDERSON |
| NPI Number: | 1598720492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 31899 |
| Business Practice Address: | 319 E Pioneer Ave Montesano, WA - 98563 |
| Business Phone Number: | 3602493300 |
| Business Fax Number: | 3602493444 |
| Mailing Address: | 319 E Pioneer Ave, MONTESANO |
| State: | WA |
| Postal Code: | 98563 |
| Phone Number: | 3602493300 |
| Fax Number: | 3602493444 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 31899 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |