Individual
DR. KIMBERLY J HERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 454, PORTLAND, OR 97213-2984
(503) 215-6405
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20514
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139696
—
OR
Enumeration date
12/30/2005
Last updated
03/15/2021
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