| Organization Name: | HERDENER FAMILY CLINIC |
| NPI Number: | 1013289321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY JOSEPH HERDENER (OWNER/NATUROPATHIC PHYSICIAN) |
| Mailing Address: | 340 Ne Evans St Mcminnville |
| State: | OR US |
| Postal Code: | 971284605 |
| Phone Number: | 5034346170 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2012 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |