Search › Washington › 133V00000X
Shannon Hertzog, BS, MS
NPI 1124602560 · on the registry since 2021
Practice
- Address
- 1615 Delaware St
Longview, WA 98632 - Phone
- (360) 501-3601
- Fax
- (360) 501-3648
- Organisation at this address
- Peacehealth
Peacehealth
Peacehealth
Peacehealth
PeacehealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 261
Additional practice sites
- 2005 W Main St Ste 130, Battle Ground, WA
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington