Individual
MICHAEL H HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6255
Mailing address
PO BOX 2098, PORTLAND, OR 97208-2098
(626) 447-0296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO159047
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO159047
MEDICAL LICENSE
OR
Enumeration date
04/21/2010
Last updated
06/28/2014
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