Brandon Gene Herrick

NPI 1285989558 - Adult Companion - 372600000X

NPI Details
NPI 1285989558
Gender Male
Enumeration Date 07/23/2012
Last Updated 07/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
144 MOLALLA AVE
OREGON CITY OR, 97045-2686, US
Phone (503) 344-6671
Fax (503) 305-6892
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone (503) 238-0769
Fax (503) 552-6208
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Brandon Gene Herrick NPI is 1285989558, taxonomy code is 372600000X Brandon Gene Herrick physically located at 144 Molalla Ave, Oregon City OR, 97045-2686. NPI Number Brandon Gene Herrick has the Individual type.

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1285989558 NPI number is provided on an as is basis without warranty of any kind. 1285989558 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Gene Herrick are for informational purposes only.