WILLIE FAYE HENDERSON
NPI 1154686830
Licensed Practical Nurse in Springfield, OR

Active since July 09, 2012
2073 OLYMPIC ST, SUITE 301, SPRINGFIELD, OR 97477(541) 682-3550 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Faye Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE FAYE HENDERSON (NPI 1154686830) is an individual licensed practical nurse in Springfield, Oregon, licensed in Oregon (6560) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1154686830
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWILLIE FAYE HENDERSON
Location Address2073 OLYMPIC ST, SUITE 301Springfield, OR 97477-3413
Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550
Sole ProprietorNo
Enumeration DateJuly 9, 2012
NPI 1154686830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OR · 6560
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2073 OLYMPIC ST, Springfield, OR 97477

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Nurse Practitioner (Pediatrics)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Student in an Organized Health Care Education/Training Program
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Dental Hygienist
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Licensed Practical Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Henderson's NPI number?

The NPI number for Willie Henderson is 1154686830. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Willie Henderson located?

Willie Henderson practices at 2073 Olympic St Suite 301, Springfield, OR 97477. The listed phone number is (541) 682-3550.

What is Willie Henderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Willie Henderson was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.