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DR. JEANINE LEA HERZOG DMD
NPI 1457429425
Dentist - General Practice in Portland, OR

Active since November 30, 2006
3653 SE 34TH AVE, PORTLAND, OR 97202(503) 665-9616(503) 666-0852 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeanine Lea Herzog Dmd NPPES

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

DR. JEANINE LEA HERZOG DMD (NPI 1457429425) is an individual general practice provider in Portland, Oregon, licensed in Oregon (6133) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1457429425
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEANINE LEA HERZOGCredential: DMD
Location Address3653 SE 34TH AVEPortland, OR 97202
Mailing Address3653 Se 34th AvePortland, OR 97202-3034
Phone(503) 665-9616
Fax(503) 666-0852
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 23, 2016
✔ NPI 1457429425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · 6133
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3653 SE 34TH AVE, Portland, OR 97202
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Other Providers at the Same Location NPPES 20

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

DR. ALEXANDER GREGORY BRODSKY DMD
Dentist (Dental Public Health)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
MS. ADRIENNE BROOKE REED RDH
Dental Hygienist
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-5558
MS. ALICIA JOY PLUMB D.D.S
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
MULTNOMAH COUNTY
Clinic/Center (Public Health, State or Local)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-3663
CARLA REMESCHATIS CHW
Community Health Worker
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-6628
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
THERESA EMILY CHIAPPE
Internal Medicine
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 780-9522
MULTNOMAH COUNTY OREGON
Pharmacy (Clinic Pharmacy)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-5423

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 Jeanine Herzog's NPI number?

The NPI number for Jeanine Herzog is 1457429425. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jeanine Herzog located?

Jeanine Herzog practices at 3653 SE 34th Ave, Portland, OR 97202. The listed phone number is (503) 665-9616.

What is Jeanine Herzog's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jeanine Herzog was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.