Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tanner J. Henderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659169530

Dr. Tanner J. Henderson, DO is a Student in an Organized Health Care Education/Training Program in Mount Vernon, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

819 S 13th St
Mount Vernon, WA 98274-4112
Phone: (360) 814-6230
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659169530
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address1400 E Kincaid St, Mount Vernon, WA 98274-4127

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