Doctor Name: | ARIANA HERRICK-KUNITZ |
NPI Number: | 1740694660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.N. |
License Number: | 201403547NP-PP |
Business Practice Address: | 2800 Sw 257th Ave Troutdale, OR - 970601803 |
Business Phone Number: | 5036677711 |
Business Fax Number: | |
Mailing Address: | 0221 Sw Vermont St, Unit B PORTLAND |
State: | OR |
Postal Code: | 972192373 |
Phone Number: | 9253898222 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2014 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201403547NP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |