Individual
MELVIN HERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 SE NORTON LN STE A, MCMINNVILLE, OR 97128-8484
(503) 472-9002
(503) 474-0157
Mailing address
4105 DUANE DR S, SALEM, OR 97302-6127
(503) 585-2669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2757
OR
Other
Enumeration date
11/05/2005
Last updated
10/16/2019
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