Provider Demographics
NPI:1275662785
Name:HERMES, JAMES FREDERICK (ND)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FREDERICK
Last Name:HERMES
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:732 SW 3RD AVE STE 604
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2406
Mailing Address - Country:US
Mailing Address - Phone:503-972-0235
Mailing Address - Fax:971-216-4964
Practice Address - Street 1:1427 NW FLANDERS ST STE A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2646
Practice Address - Country:US
Practice Address - Phone:503-972-0325
Practice Address - Fax:503-379-1523
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1359175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR278061Medicaid