Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Henderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861968810

Stephanie Henderson is a Physician Assistant in Bend, Oregon. Qualified in 2019, 7 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 706-5800
Fax: (541) 706-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 — (541) 681-8586

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 196063 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861968810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2018
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address445 Harlow Rd Ste 200, Springfield, OR 97477-1341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bend