Search › Washington › 363A00000X
Kathleen Herzog, PA-C
NPI 1881169365 · on the registry since 2018
Practice
- Address
- 1338 Commerce Ave Ste 106
Longview, WA 98632 - Phone
- (971) 915-8587
- Fax
- (503) 362-8435
- Organisation at this address
- Tms Nw Pllc
Lake Sacajawea Counseling
Genesis Medical Group, Llc.
Strengthening Foundations Llc
Northwest Tranquil Minds PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 2415 Ne 134th St Ste 107, Vancouver, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- WA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-15
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