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NECOLA HENDERSON
NPI 1801339734
Peer Specialist in Portland, OR

Active since November 26, 2016
3311 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 676-3710 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Necola Henderson NPPES

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

NECOLA HENDERSON (NPI 1801339734) is an individual peer specialist in Portland, Oregon, licensed in Oregon (11-CRM-118) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1801339734
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNECOLA HENDERSON
Location Address3311 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-2086
Mailing Address3311 Ne Martin Luther King Jr BlvdPortland, OR 97212-2086 · (503) 676-3710
Phone(503) 676-3710
Sole ProprietorNo
Enumeration DateNovember 26, 2016
✔ NPI 1801339734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 11-CRM-118
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3311 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES

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

JUANITA BRADLEY
Peer Specialist
3311 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 676-7371

Frequently Asked Questions

What is Necola Henderson's NPI number?

The NPI number assigned to this healthcare provider is 1801339734, enumerated as an "individual" on November 26, 2016.

Where is the provider located?

The provider is located at 3311 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 and the phone number is (503) 676-3710.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.