Provider Demographics
NPI:1760848055
Name:BINUHE, SENIA
Entity type:Individual
Prefix:MS
First Name:SENIA
Middle Name:
Last Name:BINUHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15542 SW 144TH TER
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-0977
Mailing Address - Country:US
Mailing Address - Phone:971-336-2192
Mailing Address - Fax:
Practice Address - Street 1:15542 SW 144TH TER
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-0977
Practice Address - Country:US
Practice Address - Phone:971-336-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-03
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2111568225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant