Individual
DR. LEE J HERSKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 585-4278
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 585-4278
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO22759
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023015
—
OR
Enumeration date
02/19/2007
Last updated
03/03/2010
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