Provider Demographics
NPI:1639257074
Name:JOLING, HERMAN H III (RT (R))
Entity Type:Individual
Prefix:
First Name:HERMAN
Middle Name:H
Last Name:JOLING
Suffix:III
Gender:M
Credentials:RT (R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 WALNUT GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-3560
Mailing Address - Country:US
Mailing Address - Phone:541-665-1060
Mailing Address - Fax:
Practice Address - Street 1:1519 ALASKAN WAY SOUTH
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1102
Practice Address - Country:US
Practice Address - Phone:206-217-6280
Practice Address - Fax:206-217-6286
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other