Organization
BRENDA HEROLD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA CAROL HEROLD PMHNP (PRESIDENT)
(503) 320-5001
Entity
Organization
Contact information
Practice address
2905 SE MADISON ST, PORTLAND, OR 97214-4154
(503) 320-5001
Mailing address
2905 SE MADISON ST, PORTLAND, OR 97214-4154
(503) 320-5001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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