Herigstad, Byron J.
Herigstad, Byron J. is an individual health care provider with primary practice located at 120-C N Everest Rd , Newberg OR 97132. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Herigstad, Byron J. can be contacted via phone (503) 538-8952.Contact Information
Primary practice address
120-C N Everest Rd
Newberg OR 97132
Phone: (503) 538-8952
Fax: (503) 537-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1549 | Oregon |
Profile Details
| NPI number | 1023083979 |
|---|---|
| LBN Legal business name | Herigstad, Byron J. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023083979 | NPPES |
| Oregon | Other | 318492 | PROVIDENCE HEALTH PLAN |
| Oregon | MEDICAID | 071014 | PROVIDENCE HEALTH PLAN |
| Oregon | Other | 5732048 | PROVIDENCE HEALTH PLAN |
| Oregon | Other | K7283 01 | PROVIDENCE HEALTH PLAN |
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