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NPI Code Detail

MEDICARE: DR. KENNETH A HERMENS M.D.

MEDICARE: DR. KENNETH A HERMENS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD12217OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861560245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH A HERMENS M.D.
Provider Business Mailing Address
First Line : 1200 NE 48TH AVE
Second Line : STE 1100
City : HILLSBORO
State : OR
Zip : 97124-5062
Country : US
Telephone Number : 503-844-8310
Fax Number :
Provider Business Practice Location Address
First Line : 1200 NE 48TH AVE
Second Line : STE 1100
City : HILLSBORO
State : OR
Zip : 97124-5062
Country : US
Telephone Number : 503-844-8310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 01/15/2014

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Directions to “ DR. KENNETH A HERMENS M.D.” Practice Location

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