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Individual

DR. ROBERT D HEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6464 SW BORLAND RD, SUITE C-1, TUALATIN, OR 97062-9999
(503) 885-1515
(503) 885-1520
Mailing address
6464 SW BORLAND RD, SUITE C-1, TUALATIN, OR 97062-9999
(503) 885-1515
(503) 885-1520

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD27619
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278965
OR
Enumeration date
11/04/2005
Last updated
04/16/2015
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