Provider Demographics
NPI:1144478553
Name:HERION, DREW THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:THOMAS
Last Name:HERION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:19255 SW 65TH AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7451
Mailing Address - Country:US
Mailing Address - Phone:503-691-9970
Mailing Address - Fax:503-691-9925
Practice Address - Street 1:19255 SW 65TH AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7451
Practice Address - Country:US
Practice Address - Phone:503-691-9970
Practice Address - Fax:503-691-9925
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE 600187861223X0400X
ORD81321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics