Herriges, Brock D
Herriges, Brock D is an individual health care provider with primary practice located at 1130 Se 122Nd Ave , Portland OR 97233-1112. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Herriges, Brock D can be contacted via phone (503) 252-5515.Contact Information
Primary practice address
1130 Se 122Nd Ave
Portland OR 97233-1112
Phone: (503) 252-5515
Fax: (503) 255-1625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D8371 | Oregon |
Profile Details
| NPI number | 1942427216 |
|---|---|
| LBN Legal business name | Herriges, Brock D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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