MEDICARE: DR. HELEN LAWRENCE HENRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD15774	OR

General Provider Information

NPI Number	:	1073606919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN LAWRENCE HENRY MD

Provider Business Mailing Address
First Line	:	14795 SW MURRAY SCHOLLS DR STE 121
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-9713
Country	:	US
Telephone Number	:	503-747-4936
Fax Number	:	503-747-4939

Provider Business Practice Location Address
First Line	:	14795 SW MURRAY SCHOLLS DR STE 121
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-9713
Country	:	US
Telephone Number	:	503-747-4936
Fax Number	:	503-747-4939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/09/2016

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