Hersell Alley II
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1215319280 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1215319280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1312 SW Washington St
Portland, OR 97205-2327 - Phone
- (503) 535-1151
- NPI assigned
- Jun 25, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1312 SW Washington St
Portland, OR 97205-2327
Mailing address
PO Box 3007
Portland, OR 97208-3007
Phone (503) 535-1151
Other providers in Portland, OR
- Allergy Clinic LLC
- Gregory Lee Allers
- Deven Allert
- Audrianna Alleva
- Courtney Alley
- Seth Callaghan Alley
- Alliance Clinic, PC
- Allied Health Services
- Allies in Change
- Krystle Alligood
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.