Individual
RICHARD DANIEL HEYERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1698 E MCANDREWS RD, SUITE 300, MEDFORD, OR 97504-5589
(541) 732-7950
(541) 732-7901
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7950
(541) 732-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284828
—
OR
Enumeration date
10/04/2006
Last updated
11/29/2021
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