Provider Demographics
NPI:1902918600
Name:HENDRICKSON, MELINDA ANNE (MD)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANNE
Last Name:HENDRICKSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-0895
Mailing Address - Fax:253-968-1222
Practice Address - Street 1:9040 JACKSON AVENUE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-3901
Practice Address - Country:US
Practice Address - Phone:253-968-0895
Practice Address - Fax:253-968-1222
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-06-17
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Provider Licenses
StateLicense IDTaxonomies
WAMD000368972080N0001X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine