Steven Gary Herzberg LCSW,QMHP,MSW

NPI 1730285131 - Counselor - 101YM0800X

NPI Details
NPI 1730285131
Gender Male
Enumeration Date 09/15/2006
Last Updated 09/24/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2415 SE 43RD AVE
SUITE 100
PORTLAND OR, 97206-1600, US
Phone (503) 963-2575
Fax (503) 872-0116
Business Location
PO BOX 396
CARSON WA, 98610-0396, US
Phone (509) 427-5973
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Steven Gary Herzberg LCSW,QMHP,MSW NPI is 1730285131, taxonomy code is 101YM0800X Steven Gary Herzberg LCSW,QMHP,MSW physically located at 2415 Se 43rd Ave, Portland OR, 97206-1600. NPI Number Steven Gary Herzberg LCSW,QMHP,MSW has the Individual type.

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1730285131 NPI number is provided on an as is basis without warranty of any kind. 1730285131 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Gary Herzberg LCSW,QMHP,MSW are for informational purposes only.