Herold, Brenda Carol

Herold, Brenda Carol is an sole proprietor health care provider with primary practice located at 2905 Se Madison St , Portland OR 97214-4154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Herold, Brenda Carol can be contacted via phone (503) 320-5001.

Contact Information

Primary practice address
2905 Se Madison St Portland OR 97214-4154
Phone: (503) 320-5001
Fax: (503) 234-1952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 000035838N6 Oregon

Profile Details

NPI number 1629062518
LBN Legal business name Herold, Brenda Carol
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated May 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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