Jacob Henderson
MD | Pediatrics | Male
Jacob Henderson, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacob Henderson is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3011. He can be contacted on phone at
253-686-4246.
Jacob Henderson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jacob Henderson is
1598993628 which was assigned by NPPES on 26 Jun, 2009 and it was last updated on 19 Aug, 2016.
Jacob Henderson license number is
MD171504 for Pediatrics (208000000X) in Oregon.
Jacob Henderson 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:
Jacob Henderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacob Henderson |
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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:
Jacob Henderson 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 : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 253-686-4246 |
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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 : | 1598993628 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2009 |
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| Last Updated On : | 19 Aug, 2016 |
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Medicare Participation:
Jacob Henderson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8820254857 |
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| Medicare Enrollment ID : | I20190910003402 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2017 |
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| Accepts Medicare? | Yes. Jacob Henderson accepts medicare insurance. |
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Group Practice Association:
Jacob Henderson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacob Henderson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Multicare Health System | 7719899897 | 1562 | 200 Lilly Rd Ne
Suite C
Olympia, WA - 985065080
Ph: 3609330368 | Yes |
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 Jacob Henderson are as mentioned. Primary taxonomy code for Jacob Henderson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD171504 | 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 : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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Business Location:
Patients can refer following map for directions to
Jacob Henderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.