Individual provider · NPI-1

Jade Joy Herrin

Technician/Technologist, Optician · Salem, OR

NPI number1174464317
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1174464317
Entity type
Individual (NPI-1)
Name
Jade Joy Herrin
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2026
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician267546ORYes

Practice location

3025 Lancaster Dr Ne # De
Salem, OR 97305-1391

Phone 503-362-5982

Mailing address

835 Piedmont Ave Nw Apt 3
Salem, OR 97304-3700

Phone 503-362-5982

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