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Contact Information

LOURDES M HERRERA, M.S.P.T.
14411 NE 20TH AVE STE 101
VANCOUVER, WA98686-6432
 Phone: 360-574-9293
 Fax: 360-574-9283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LOURDES M HERRERA · (Female)

NPI Number 1093828170
Status Active
Credentials M.S.P.T.
Entity Individual
Enumeration date 08/16/2006
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PT00006874
  • WA Medicaid 8436891
  • WA Other 8941150 WA DEPT OF L&I CRIME VICT
  • WA Other 0205240 WA DEPT OF LABOR & INDUST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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