BRENDA HEROLD INC. NPI 1750668398

NPI Information

  • NPI: 1750668398
  • Provider Name: BRENDA HEROLD, INC.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2905 SE MADISON ST
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 320-5001

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NPI Details

BRENDA HEROLD, INC. is a psychiatric/mental health nurse practitioner in Portland, OR. BRENDA HEROLD, INC. NPI is 1750668398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Brenda Carol Herold .
The authorized official title is President and has the following contact phone number (503) 320-5001.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 11/10/2011.

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 HealthYes

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
1104841MEDICARE PINOREGON
2S63206MEDICARE 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: 11/21/2025

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