Individual provider · Type 1 NPI

Jeffery Kolk Herbert, P.A.

Surgical Physician Assistant · Medford, OR

NPI number 1174604359 Active

Practice location

520 Medical Center Dr, Suite 300
Medford, OR 97504-4334

Fax (541) 282-6686

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00572 (OR)
Medical Physician Assistant 363AM0700XPA00572 (OR)
Surgical Physician Assistant Primary 363AS0400XPA00572 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1174604359

Jeffery Kolk Herbert, P.A.'s National Provider Identifier is 1174604359, issued on Oct 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Medford, OR. The record was last updated on Sep 11, 2025.