| Marjorie L Henderson, MD | |
|
508 S 4th Ave, Yakima, WA 98902-3547 | |
| (509) 574-6139 | |
| (509) 574-6138 |
| Full Name | Marjorie L Henderson |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 508 S 4th Ave, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750399911 | NPI | - | NPPES |
| 1033422 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD00019316 (Washington) | Primary |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | Community Health Of Central Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598764920 PECOS PAC ID: 4183536931 Enrollment ID: O20040414000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie L Henderson, MD 501 S 5th Ave, Yakima, WA 98902-3550 Ph: (509) 494-6700 | Marjorie L Henderson, MD 508 S 4th Ave, Yakima, WA 98902-3547 Ph: (509) 574-6139 |
Henry Yunwoong Kim, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1460 N 16th Ave, Suite D, Yakima, WA 98902 Phone: 509-574-3805 | |
Jeffrey M Ventre, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1470 N 16th Ave, Yakima, WA 98902 Phone: 509-574-6000 Fax: 509-225-2714 | |
Michael Sean Mullin, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1470 N 16th Ave, Yakima, WA 98902 Phone: 509-574-6000 Fax: 509-225-2714 | |
Carlee Renee Gibbons, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1470 N 16th Ave Ste D, Yakima, WA 98902 Phone: 509-746-3055 | |
Daniel M Kwon, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1470 N 16th Ave, Yakima, WA 98902 Phone: 509-575-6000 Fax: 509-225-2714 |