Dr Dale Preston Henken, MD in Coos Bay, OR - Pediatrics

Dr Dale Preston Henken, MD is a Pediatrics physician based in Coos Bay, Oregon. Dr Dale Preston Henken is licensed to practice in Oregon (license number MD150386) and his current practice location is 1900 Woodland Dr, Coos Bay, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 267-5151.

NPI number for Dr Dale Preston Henken is 1306097555 and his current mailing address is 1900 Woodland Dr, Coos Bay, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306097555.

Contact Information

	Dr Dale Preston Henken, MD
	1900 Woodland Dr, Coos Bay, OR 97420-2045
	(541) 267-5151
	(541) 266-4562

Physician's Profile

Full Name	Dr Dale Preston Henken
Gender	Male
Speciality	Pediatrics
Location	1900 Woodland Dr, Coos Bay, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1306097555
Provider Enumeration Date: 10/07/2008
Last Update Date: 09/26/2011

Medical Identifiers

Medical identifiers for Dr Dale Preston Henken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306097555	NPI	-	NPPES
93-0635514	Other	OR	NBMC MAIN GROUP TAX ID FOR BILLING
161133	Other	OR	NBMC MAIN GROUP DMAP
500630202	Medicaid	OR
MD150386	Other	OR	OREON MEDICAL LICENSE
1407812365	Other	OR	NBMC MAIN GROUP NPI
R0000WFBTV	Other	OR	NBMC MAIN GROUP MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G41486 (California)	Secondary
208000000X	Pediatrics	MD150386 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Preston Henken is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dale Preston Henken, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151	Dr Dale Preston Henken, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151

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Pediatrics Doctors in Coos Bay, OR

Dr. Donna Lee Rabin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501
Kevin H Molteni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Dr. Mary Lynn Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1750 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-0333 Fax: 541-269-7389
Dr. Jenni Conner Deleon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4579
Dr. Cassandra Kay Hastings, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4566
Dr. Kariktan Cruz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501

Dr Dale Preston Henken, MD - Pediatrics in Coos Bay, OR