Individual
KATHY HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
559 GLATT CIR STE 1, WOODBURN, OR 97071-9675
(503) 981-4591
(503) 982-3308
Mailing address
559 GLATT CIR STE 1, WOODBURN, OR 97071-9675
(503) 981-4591
(503) 982-3308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10649
OR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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