Individual provider · Type 1 NPI

Hersell Alley Ii

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1215319280 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1151 Map

Mailing address

PO Box 3007
Portland, OR 97208-3007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215319280

Hersell Alley Ii's National Provider Identifier is 1215319280, issued on Jun 25, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 25, 2015.