Individual
MRS. ILENE MARIE HERGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1615 BUCK ST, WEST LINN, OR 97068-2709
(503) 657-4921
Mailing address
1615 BUCK ST, WEST LINN, OR 97068-2709
(503) 657-4921
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098342
—
OR
Enumeration date
07/14/2006
Last updated
07/09/2007
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