Provider Demographics
NPI:1053452706
Name:SEMLER, HERBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:J
Last Name:SEMLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 NW EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3530
Mailing Address - Country:US
Mailing Address - Phone:503-297-8608
Mailing Address - Fax:503-297-0107
Practice Address - Street 1:2330 NW EVERETT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3530
Practice Address - Country:US
Practice Address - Phone:503-297-8608
Practice Address - Fax:503-297-0107
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC93744Medicare UPIN