Jennie G Hendrie, MD | |
10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391-6535 | |
(253) 848-8797 | |
(253) 826-1264 |
Full Name | Jennie G Hendrie |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10004 204th Ave E, Bonney Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013995976 | NPI | - | NPPES |
8230062 | Other | WA | DSHS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00036248 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jennie G Hendrie, MD 1706 Meridian S, Suite 120, Puyallup, WA 98371-7516 Ph: (253) 848-8797 | Jennie G Hendrie, MD 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391-6535 Ph: (253) 848-8797 |
Sharon Rh Santos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 | |
Joan C Tsang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100 | |
Brian J Schoos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 | |
Michele Yi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-845-0100 | |
Heather Lynn Cooper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 |