Provider Demographics
NPI:1073606919
Name:HENRY, HELEN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:LAWRENCE
Last Name:HENRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14795 SW MURRAY SCHOLLS DR STE 121
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9713
Mailing Address - Country:US
Mailing Address - Phone:503-747-4936
Mailing Address - Fax:503-747-4939
Practice Address - Street 1:14795 SW MURRAY SCHOLLS DR STE 121
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9713
Practice Address - Country:US
Practice Address - Phone:503-747-4936
Practice Address - Fax:503-747-4939
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD15774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORE46701Medicare UPIN