Individual
DR. STEFAN MICHAEL HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
(503) 459-4221
Mailing address
13150 SE SALMON ST, PORTLAND, OR 97233-1653
(503) 408-6758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3814
OR
Other
Enumeration date
09/15/2005
Last updated
09/26/2012
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