# MARK M HERSCHER DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316125784
- **Authorized official:** CHERYL DIANE HERSCHER (OFFICE MANAGER)
- **Authorized official phone:** (541) 863-3146

## Contact information

- **Practice address:** 145 NE BROADWAY, MYRTLE CREEK, OR 97457-0117
- **Practice address phone:** (541) 863-3146
- **Practice address fax:** (541) 863-3226
- **Mailing address:** PO BOX 789, MYRTLE CREEK, OR 97457-0117
- **Mailing address phone:** (541) 863-3146
- **Mailing address fax:** (541) 863-3226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO14354 | OR | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 04/07/2011
