Individual provider · Type 1 NPI

Michele Marie Herzog-Dial, LMT

Other Technician · Milwaukie, OR

NPI number 1164847992 Active

Practice location

4400 SE Risley Ave
Milwaukie, OR 97267-2954

Fax (503) 850-4651

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X4576 (OR)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1164847992

Michele Marie Herzog-Dial, LMT's National Provider Identifier is 1164847992, issued on Mar 4, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Milwaukie, OR. The record was last updated on Mar 4, 2014.