Individual
MARGIE ELIZABETH HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4212 NE BROADWAY, PORTLAND, OR 97213-1422
(503) 249-8787
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201500166RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202205308NP-PP
OR
Other
Enumeration date
12/14/2016
Last updated
06/09/2026
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