Individual
JAMES EARL HEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Mailing address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11797MD
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168815
—
OR
Enumeration date
07/29/2005
Last updated
10/17/2007
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