Herndon, John

Herndon, John is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Herndon, John can be contacted via phone (503) 494-7772.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-7772
Fax: (503) 418-9276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MED-PHYS-LIC-77300 Montana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 201814 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD218422 Oregon

Profile Details

NPI number 1518387398
LBN Legal business name Herndon, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2014
Last updated Jan 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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