person
Jake Gardner Herbert, DO
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1831831981

Jake Gardner Herbert is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jake Gardner Herbert practices in Portland, OR and has the professional credentials of DO. The NPI Number for Jake Gardner Herbert is 1831831981 and holds a License No. (Oregon).

The current practice location address for Jake Gardner Herbert is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8211.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098
person
Provider Profile Details
NPI Number
1831831981
Provider Name
Jake Gardner Herbert
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3098
Phone Number
503-494-8211
Fax Number
Provider Enumeration Date
04/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3098
Phone Number
503-494-8211
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3098
Phone Number
503-494-8211
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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