Individual
MS. WENDY KAY HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC, DNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1306 NE ROSELAWN ST, PORTLAND, OR 97211-4428
(323) 697-8407
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20160898NP-PP
OR
Other
Enumeration date
08/01/2017
Last updated
10/23/2018
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