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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MANDA JANE HERSTAD LPN
NPI 1376460212
Licensed Practical Nurse in Salem, OR

Active since July 01, 2026
702 CHURCH ST NE, SALEM, OR 97301(503) 991-5903 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manda Jane Herstad Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDA JANE HERSTAD LPN (NPI 1376460212) is an individual licensed practical nurse in Salem, Oregon, licensed in Oregon (202009204LPN) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1376460212
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMANDA JANE HERSTADCredential: LPN
Location Address702 CHURCH ST NESalem, OR 97301-2404
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (602) 854-0504
Phone(503) 991-5903
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1376460212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 202009204LPN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
702 CHURCH ST NE, Salem, OR 97301
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORIE ANN KELLEY NORTON APRN
Nurse Practitioner (Family)
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
DR. BEAL ESSINK MD
Psychiatry & Neurology (Psychiatry)
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 540-0100
SHALYSA MARTINEZ-BRYANT
Licensed Practical Nurse
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
AUSTIN LANIER MEEKS CADC-1, PWS
Counselor (Addiction (Substance Use Disorder))
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
LESLIE EVAN STREETER CADC-II
Counselor (Addiction (Substance Use Disorder))
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Clinic/Center (Methadone)
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
POLLY MARIE BOWMAN
Licensed Practical Nurse
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 991-5903
BROOKE MARIE BENTON
Counselor (Addiction (Substance Use Disorder))
702 CHURCH ST NE
SALEM, OR 97301
Marion County (503) 936-1917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manda Herstad's NPI number?

The NPI number for Manda Herstad is 1376460212. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Manda Herstad located?

Manda Herstad practices at 702 Church St NE, Salem, OR 97301. The listed phone number is (503) 991-5903.

What is Manda Herstad's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Manda Herstad was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.