Jeffery Kolk Herbert in Medford - Surgical
Jeffery Kolk Herbert - NPI 1174604359
Jeffery Kolk Herbert is a Surgical in Medford, Oregon. Jeffery Kolk Herbert practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jeffery Kolk Herbert is 1174604359. The last update date is 2007-07-08.
Jeffery Kolk Herbert's current location address is 520 Medical Center Dr, Medford, Oregon. You can contact this provider via phone number 5412826685 and fax number 5412826686. The mailing address for Jeffery Kolk Herbert is 520 Medical Center Dr, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Kolk Herbert |
|---|---|
| Address | 520 Medical Center Dr, Medford, Oregon |
| Phone Number | 5412826685 |
| Fax Number | 5412826686 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1174604359 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 520 Medical Center Dr |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975044334 |
| Phone Number | 5412826685 |
| Fax Number | 5412826686 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA00572 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64456 | OR | -- | |
| 4898008 | OR | BLUE CROSS |
Post Comment/ Review Below
What is the Jeffery Kolk Herbert's 1174604359?
The Jeffery Kolk Herbert's NPI (National Provider Identifier) Number is 1174604359. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffery Kolk Herbert's physical address?
The Jeffery Kolk Herbert is physically located at 520 Medical Center Dr, in the city of Medford, OR, with the postal code 975044334.
What is Jeffery Kolk Herbert's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffery Kolk Herbert is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date was the 1174604359 assigned to Jeffery Kolk Herbert?
The Jeffery Kolk Herbert was issued its 1174604359 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeffery Kolk Herbert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffery Kolk Herbert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.