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KATHRYN ANN HENDERSON D.O.
NPI 1710949417
Family Medicine in Medford, OR

Active since April 06, 2006
19 MYRTLE ST, MEDFORD, OR 97504(541) 842-7626(541) 842-7640 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Ann Henderson D.o. NPPES

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

KATHRYN ANN HENDERSON D.O. (NPI 1710949417) is an individual family medicine provider in Medford, Oregon, licensed in Oregon (DO13513) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1710949417
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHRYN ANN HENDERSONCredential: D.O.
Location Address19 MYRTLE STMedford, OR 97504-7337
Mailing Address19 Myrtle StMedford, OR 97504-7337 · (541) 842-7626 · Fax (541) 842-7640
Phone(541) 842-7626
Fax(541) 842-7640
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateMarch 12, 2013
✔ NPI 1710949417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO13513
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License D013513 (OR)
19 MYRTLE ST, Medford, OR 97504
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Other Identifiers 8

Other930079054Railroad Medicare
Other97520A005Champus
OtherE68602Group Health
OtherE68602Providence Health Plan
Other023507000OR · Bc/bs Of Oregon
Medicare UPINE68602
MedicaidXPY185059CA
Medicare PINR104103

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.

OLIVIA CORTEZ CPHT
Interpreter
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 842-7747
PHYLLIS T. DUNCKEL MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
TINA JENNINGS OKENFUSS LPC
Counselor (Mental Health)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DANA NOELLE BROOKS MA, MFT
Marriage & Family Therapist
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DR. PAUL D. MATZ MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DARCIE KATHLEEN STERNENBERG MD
Internal Medicine (Nephrology)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DR. KRISTI NOEL HENNAN M.D.
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
SUSAN KATHERINE MACKINNON M.D.
Internal Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863

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 Kathryn Henderson's NPI number?

The NPI number for Kathryn Henderson is 1710949417. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Kathryn Henderson located?

Kathryn Henderson practices at 19 Myrtle St, Medford, OR 97504. The listed phone number is (541) 842-7626.

What is Kathryn Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kathryn Henderson was last updated on March 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.