IndividualActive
Andrew Henderson, DMD
NPI 1447734132 · Dentist · Tigard, OR
Provider details
- NPI number
- 1447734132
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D10892 (OR)
Specialties & taxonomies
Dental Providers
Practice location
9020 Sw Washington Square Rd Ste 570
Tigard, OR 97223-4477
Phone: (503) 862-9086
Approximate (ZIP-level) locationGet directions
Mailing address
11808 Se Sunnyside Rd
Clackamas, OR 97015-9308
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.