Stefan Michael Herold in Portland - Chiropractor
Stefan Michael Herold - NPI 1710972724
Stefan Michael Herold is a Chiropractor in Portland, Oregon. Stefan Michael Herold practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stefan Michael Herold is 1710972724. The last update date is 2012-09-26.
Stefan Michael Herold's current location address is 1221 Se Madison St, Portland, Oregon. You can contact this provider via phone number 5034457767 and fax number 5034594221. The mailing address for Stefan Michael Herold is 1221 Se Madison St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan Michael Herold |
|---|---|
| Address | 1221 Se Madison St, Portland, Oregon |
| Phone Number | 5034457767 |
| Fax Number | 5034594221 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1710972724 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 1221 Se Madison St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972143890 |
| Phone Number | 5034457767 |
| Fax Number | 5034594221 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3814 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Stefan Michael Herold's 1710972724?
The Stefan Michael Herold's NPI (National Provider Identifier) Number is 1710972724. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stefan Michael Herold is geographically located?
The Stefan Michael Herold is physically situated at the following location: 1221 Se Madison St, Portland, OR, 972143890.
What is the Stefan Michael Herold's specialty and taxonomy code?
The Stefan Michael Herold's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710972724 to Stefan Michael Herold?
The Stefan Michael Herold received its 1710972724 assignment from the Centers for Medicare & Medicaid Services on 2005-09-15.
When was the Stefan Michael Herold's information last updated?
The Stefan Michael Herold's information was last updated on 2012-09-26.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC