Herget, Ilene Marie

Herget, Ilene Marie is an sole proprietor health care provider with primary practice located at 1615 Buck St , West Linn OR 97068-2709. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Herget, Ilene Marie can be contacted via phone (503) 657-4921.

Contact Information

Primary practice address
1615 Buck St West Linn OR 97068-2709
Phone: (503) 657-4921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X Oregon

Profile Details

NPI number 1083630701
LBN Legal business name Herget, Ilene Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083630701 NPPES
Oregon MEDICAID 098342

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