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Matthew James Herbert

Community Health Worker in Salem, OR. Individual provider (NPI-1).

NPI number1346698677
StatusActive
Last updated in NPPESMay 26, 2016

Details

NPI
1346698677
Entity type
Individual (NPI-1)
Name
Matthew James Herbert
Sex
Male
Sole proprietor
No
Enumeration date
May 26, 2016
Last updated
May 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4890 32nd Ave Se
Salem, OR 97317-9350

Phone 503-588-5647

Mailing address

4890 32nd Ave Se
Salem, OR 97317-9350

Phone 503-588-5647

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