Herrera, Lourdes M

Herrera, Lourdes M is an individual health care provider with primary practice located at 14411 Ne 20Th Ave Ste 101 , Vancouver WA 98686-6432. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Herrera, Lourdes M can be contacted via phone (360) 574-9293.

Contact Information

Primary practice address
14411 Ne 20Th Ave Ste 101 Vancouver WA 98686-6432
Phone: (360) 574-9293
Fax: (360) 574-9283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X PT00006874 Washington

Profile Details

NPI number 1093828170
LBN Legal business name Herrera, Lourdes M
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 17th, 2014 - about 10 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 1093828170 NPPES
Washington MEDICAID 8436891
Washington Other 8941150
Washington Other 0205240

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