| Dr Dale Preston Henken, MD | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| (541) 266-4562 |
| Full Name | Dr Dale Preston Henken |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306097555 | NPI | - | NPPES |
| 93-0635514 | Other | OR | NBMC MAIN GROUP TAX ID FOR BILLING |
| 161133 | Other | OR | NBMC MAIN GROUP DMAP |
| 500630202 | Medicaid | OR | |
| MD150386 | Other | OR | OREON MEDICAL LICENSE |
| 1407812365 | Other | OR | NBMC MAIN GROUP NPI |
| R0000WFBTV | Other | OR | NBMC MAIN GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G41486 (California) | Secondary |
| 208000000X | Pediatrics | MD150386 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Preston Henken, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 | Dr Dale Preston Henken, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Dr. Donna Lee Rabin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 | |
Kevin H Molteni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Dr. Mary Lynn Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1750 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-0333 Fax: 541-269-7389 | |
Dr. Jenni Conner Deleon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4579 | |
Dr. Cassandra Kay Hastings, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4566 | |
Dr. Kariktan Cruz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 |