Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD153865 | OR |
N | 208600000X | Surgeon | MD153865 | OR |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD153865 | OR |
NPI | 1093937468 |
---|---|
Provider Name | Dr. Margo S Herron |
First Address | Ashland, OR 97520-1887 |
Second Address | Ashland, OR 97520-1887 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500636211 | (05) | OR |