NPI 1164847992

Michele Marie Herzog-Dial, LMT

Practitioner Other Technician Milwaukie, OR

Practice location

Address: 4400 SE Risley Ave, Milwaukie, OR 97267-2954
Phone: (971) 998-4442
Fax: (503) 850-4651

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 4576 (OR)

Other Technician, Other providers in Oregon →

Registry record

NPI: 1164847992
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2014
Record last updated: 4 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.