TIMOTHY LELAND HERRICK

PORTLAND, OR
NPI1063697159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD15700)
Enumeration Date2008-01-08
Last Update Date2013-03-27
Business Address
-- TIMOTHY LELAND HERRICK MD
3303 SW BOND AVE
PORTLAND, OR 97239-4501
Phone number: 503-494-8573
Mailing Address
-- TIMOTHY LELAND HERRICK MD
3303 SW BOND AVE OHSU DEPARTMENT OF FAMILY MEDICINE
PORTLAND, OR 97239-4501
Phone number: 503-494-8573
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