Dr. Charles Michael Herndon
Internist - Addiction Medicine
3760 Piper St Suite 1108
Anchorage
, Alaska 99508-4683
Dr. Charles Michael Herndon
Internist - Addiction Medicine
3760 Piper St Suite 1108
Anchorage
, Alaska 99508-4683
(425) 917-9141
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles Michael Herndon
- Po Box 4105
- Portland, OR
- Zip : 97208-4105
- Fax : (425) 917-9141
- Phone : (866) 907-1068
Second Address
- Dr. Charles Michael Herndon
- 3760 Piper St Suite 1108
- Anchorage, AK
- Zip : 99508-4683
- Fax : (907) 212-6971
- Phone : (907) 212-6970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 2370 | AK |
National Provider Identifier
| NPI | 1326062431 |
|---|---|
| Provider Name | Dr. Charles Michael Herndon |
| First Address | Portland, OR 97208-4105 |
| Second Address | Anchorage, AK 99508-4683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 30/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1007300 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.