MS. BRENDA CAROL HEROLD PMHNP NPI 1629062518

NPI Information

  • NPI: 1629062518
  • Provider Name: MS. BRENDA CAROL HEROLD, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2905 SE MADISON ST
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 320-5001

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NPI Details

MS. Brenda Carol Herold, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. MS. Brenda Carol Herold, PMHNP NPI is 1629062518. 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:

2905 SE MADISON ST
PORTLAND, OR
ZIP 97214-154
Phone: (503) 320-5001
Fax: (503) 234-1952

The enumeration date for this NPI number is 9/7/2005 and was last updated on 5/15/2012.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health000035838N6OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S63206MEDICARE UPINOREGON

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: 3/30/2025

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