Nicole Lynn Herzog - Eugene, OR

Nicole Lynn Herzog

Day Training/Habilitation Specialist in Eugene, Oregon

NPI 1962967042

Nicole Lynn Herzog is a Day Training/Habilitation Specialist based in Eugene, OR. Nicole Lynn Herzog practices in Eugene, OR. The NPI Number for Nicole Lynn Herzog is 1962967042 and holds a License No. (Oregon).

The current practice location address for Nicole Lynn Herzog is 2145 Centennial Plz, Eugene, OR and can be reached out via phone at 541-485-6340 and via fax at 541-984-3124.

Location: 2145 Centennial Plz, Eugene, OR, 97401-2474

NPI Number

1962967042

Provider Name

Nicole Lynn Herzog

Credential

Provider Entity Type

Individual

Gender

Female

Address

2145 Centennial Plz, Eugene, OR, 97401-2474

Phone Number

541-485-6340

Fax Number

541-984-3124

Provider Enumeration Date

02/04/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
101YM0800X	05	OR

Address

2145 Centennial Plz

City

Eugene

State

Oregon

Zip

97401-2474

Phone Number

541-485-6340

Fax Number

541-984-3124

Address

2145 Centennial Plz

City

Eugene

State

Oregon

Zip

97401-2474

Phone Number

541-485-6340

Fax Number

541-984-3124

Type

Nursing Service Related Providers

Classification

Day Training/Habilitation Specialist

Speciality

Taxonomy

373H00000X

License No.

()

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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