Individual
MARGIE ELIZABETH HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3325 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5046
(503) 684-8252
Mailing address
3325 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5046
(503) 684-8252
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
11/21/2023
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