IndividualActive
Willie Henderson
NPI 1154686830 · Licensed Practical Nurse · Springfield, OR
Provider details
- NPI number
- 1154686830
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6560 (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
2073 Olympic St
Suite 301
Springfield, OR 97477-3413
Phone: (541) 682-3550
Approximate (ZIP-level) locationGet directions
Mailing address
2073 Olympic St
Springfield, OR 97477-3413
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.