Individual
DR. KENNETH A HERMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NE 48TH AVE, STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8310
Mailing address
1200 NE 48TH AVE, STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121582
—
OR
Enumeration date
12/01/2006
Last updated
01/15/2014
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