KACY L HERBST

PORTLAND, OR
NPI1053106039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10043172)
Enumeration Date2025-04-11
Last Update Date2025-04-30
Business Address
KACY L HERBST PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405
Mailing Address
KACY L HERBST PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 503-460-0405