Individual provider · Type 1 NPI
Brenda Carol Herold, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1629062518
Active
Practice location
2905 SE Madison St
Portland, OR 97214-4154
Fax (503) 234-1952
Mailing address
PO Box 14189
Portland, OR 97293-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 000035838N6 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629062518
Brenda Carol Herold, PMHNP's National Provider Identifier is 1629062518, issued on Sep 7, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on May 15, 2012.