Dr. Dale Preston Henken
MD | Pediatrics | Male
Dr. Dale Preston Henken, MD is a Coos Bay, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Dale Preston Henken is
1900 Woodland Dr, Coos Bay, Oregon - 97420-2045. He can be contacted on phone at
541-267-5151 and fax number 541-266-4562.
Dr. Dale Preston Henken is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Dale Preston Henken is
1306097555 which was assigned by NPPES on 07 Oct, 2008 and it was last updated on 26 Sep, 2011.
Dr. Dale Preston Henken license number is
MD150386 for Pediatrics (208000000X) in Oregon.
Dr. Dale Preston Henken is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Dale Preston Henken basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Dale Preston Henken |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Dale Preston Henken address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1900 Woodland Dr
Coos Bay, OR, 97420-2045
United States |
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| Phone Number : | 541-267-5151 |
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| Fax Number : | 541-266-4562 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306097555 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Oct, 2008 |
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| Last Updated On : | 26 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dale Preston Henken are as mentioned. Primary taxonomy code for Dr. Dale Preston Henken, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G41486 | CA |
| 208000000X | Pediatrics | Yes | MD150386 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dale Preston Henken such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| MD150386 | Other | OR | OREON MEDICAL LICENSE |
| R0000WFBTV | Other | OR | NBMC MAIN GROUP MEDICARE |
| 161133 | Other | OR | NBMC MAIN GROUP DMAP |
| 1407812365 | Other | OR | NBMC MAIN GROUP NPI |
| 93-0635514 | Other | OR | NBMC MAIN GROUP TAX ID FOR BILLING |
| 500630202 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1900 Woodland Dr
Coos Bay, OR, 97420-2045
United States |
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| Phone Number : | 541-267-5151 |
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| Fax Number : | 541-266-4562 |
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Business Location:
Patients can refer following map for directions to
Dr. Dale Preston Henken practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.