KATHERINE VICTORIA HERZOG NP NPI 1184235236

NPI Information

NPI: 1184235236
Provider Name: KATHERINE VICTORIA HERZOG, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3314 S KELLY AVE
PORTLAND, OR
ZIP 97239
Phone: (714) 398-5246
Get Directions

Katherine Victoria Herzog, NP is a family nurse practitioner in Portland, OR. Katherine Victoria Herzog, NP NPI is 1184235236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3314 S KELLY AVE
PORTLAND, OR
ZIP 97239-628
Phone: (714) 398-5246

The NPI 1184235236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 11/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95034447	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	10015762	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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