Evan Dial Hershberger

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

60597867 Issued in WA

Practice address

2400 Broadway St
Vancouver, WA 98663-3229

Phone

(360) 904-4999

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cohesive Massage Therapy, LLC

  • Massage Therapist
  • Vancouver, WA
  • NPI 1902280951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730694357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 NW RIDGECREST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855158",
            "telephone_number": "512-554-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633229",
            "telephone_number": "360-904-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "EVAN",
        "middle_name": "DIAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60597867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Herrera
• Benjamin David Herring, M.D.
• Elsie Herring
• Emily Jane Herschmiller, MD
• Craig Stephen Hersh, M.D.
• Alison Herson, MD
• Alex M Herzberg, MD
• William Steven Herzberg, M.D.
• William Herzig, MD
• Amy Herzog, RDA

• Acupuncturist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.