Thiebaut Thomas Herzog
Pediatrics | Male
Thiebaut Thomas Herzog is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Thiebaut Thomas Herzog is
2801 N Gantenbein Ave, Portland, Oregon - 97227-1623. He can be contacted on phone at
503-276-6500.
Thiebaut Thomas Herzog is a sole proprietor of his business.
NPI number (Unique professional ID) for Thiebaut Thomas Herzog is
1114344058 which was assigned by NPPES on 27 Mar, 2014 and it was last updated on 03 Nov, 2022.
Thiebaut Thomas Herzog license number is
1114344058 for Pediatrics (208000000X) in Washington.
Thiebaut Thomas Herzog is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Thiebaut Thomas Herzog basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Thiebaut Thomas Herzog |
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| Gender : | Male |
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Business Address:
Thiebaut Thomas Herzog address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2801 N Gantenbein Ave
Portland, OR, 97227-1623
United States |
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| Phone Number : | 503-276-6500 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114344058 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2014 |
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| Last Updated On : | 03 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thiebaut Thomas Herzog are as mentioned. Primary taxonomy code for Thiebaut Thomas Herzog is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 1114344058 | WA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
4800 SAND POINT WAY NE # OC.7830,
SEATTLE, WA, 98105-3901
United States | SEATTLE, WA | 206-987-2525 |
2801 N GANTENBEIN AVE,
PORTLAND, OR, 97227-1623
United States | PORTLAND, OR | 503-276-6500 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | therzog159686@secure.stcharleshealthcare.org
| No affiliation |
|
| 2500 NE Neff Rd,
Bend, OR, 97701-6015
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 Ne Neff Rd
Bend, OR, 97701-6015
United States |
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| Phone Number : | 541-382-4321 |
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Business Location:
Patients can refer following map for directions to
Thiebaut Thomas Herzog practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.