Provider Demographics
NPI:1548299803
Name:HERING, HERMAN D (MD)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:D
Last Name:HERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1538
Mailing Address - Country:US
Mailing Address - Phone:541-386-1818
Mailing Address - Fax:541-386-3225
Practice Address - Street 1:902 12TH ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1538
Practice Address - Country:US
Practice Address - Phone:541-386-1818
Practice Address - Fax:541-386-3225
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17711207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR044847Medicaid
OR200012323OtherRAILROAD MEDICARE
OR200012323OtherRAILROAD MEDICARE
OROOOOBKDNGMedicare ID - Type Unspecified