Provider Demographics
NPI:1972941409
Name:JAMES HERMES, ND
Entity Type:Organization
Organization Name:JAMES HERMES, ND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-644-9135
Mailing Address - Street 1:12750 SW 2ND ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2778
Mailing Address - Country:US
Mailing Address - Phone:503-643-0892
Mailing Address - Fax:503-336-1004
Practice Address - Street 1:12750 SW 2ND ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2778
Practice Address - Country:US
Practice Address - Phone:503-643-0892
Practice Address - Fax:503-336-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1359175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty