Kirsten Leigh Hermens, NCMA

Individual provider Active NPI Attendant Care Provider · Amity, OR

NPI 1225854508 · NPPES record last updated Dec 2, 2024

Key facts

NPI
1225854508
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
9851 SW Lancefield Rd
Amity, OR 97101-2203
Phone
(971) 517-8827
NPI assigned
Dec 2, 2024
Sex
Female
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)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

9851 SW Lancefield Rd
Amity, OR 97101-2203

Mailing address

9851 SW Lancefield Rd
Amity, OR 97101-2203
Phone (971) 517-8827

Other providers in Amity, OR

All providers in Amity, OR · Attendant Care Provider in Oregon

Sources for this page

Verify at the official NPI Registry.