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1053106039
KACY L HERBST
PORTLAND, OR
NPI
1053106039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 10043172)
Enumeration Date
2025-04-11
Last Update Date
2025-04-30
Business Address
KACY L HERBST PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405
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Mailing Address
KACY L HERBST PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405
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