Herold, Brenda Carol
Herold, Brenda Carol is an sole proprietor health care provider with primary practice located at 2905 Se Madison St , Portland OR 97214-4154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Herold, Brenda Carol can be contacted via phone (503) 320-5001.Contact Information
Primary practice address
2905 Se Madison St
Portland OR 97214-4154
Phone: (503) 320-5001
Fax: (503) 234-1952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 000035838N6 | Oregon |
Profile Details
| NPI number | 1629062518 |
|---|---|
| LBN Legal business name | Herold, Brenda Carol |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | May 15th, 2012 - about 12 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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