BRENDA CAROL HEROLD

PORTLAND, OR
NPI1629062518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  000035838N6)
Enumeration Date2005-09-07
Last Update Date2012-05-15
Business Address
Ms. BRENDA CAROL HEROLD PMHNP
2905 SE MADISON ST
PORTLAND, OR 97214-4154
Phone number: 503-320-5001
Mailing Address
Ms. BRENDA CAROL HEROLD PMHNP
PO BOX 14189
PORTLAND, OR 97293-0189
Phone number: 503-320-5001
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