Individual
TIMOTHY LELAND HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-8573
Mailing address
3303 SW BOND AVE, OHSU DEPARTMENT OF FAMILY MEDICINE, PORTLAND, OR 97239-4501
(503) 494-8573
(503) 346-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15700
OR
Other
Enumeration date
01/08/2008
Last updated
03/27/2013
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