Organization
ANGELA L HERGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN HERGET LMT CA (LMT #15856 / OWNER)
(541) 948-7090
Entity
Organization
Contact information
Practice address
716 SW 11TH ST, REDMOND, OR 97756-2648
(541) 948-7090
Mailing address
810 NW TEAK AVE, REDMOND, OR 97756-1234
(541) 948-7090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15856
OR
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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