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 5 years ago
Practice Location
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
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.

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.