MS. BRENDA CAROL HEROLD PMHNP
NPI 1629062518
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since September 07, 2005
2905 SE MADISON ST, PORTLAND, OR 97214(503) 320-5001(503) 234-1952 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Brenda Carol Herold Pmhnp NPPES

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

MS. BRENDA CAROL HEROLD PMHNP (NPI 1629062518) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (000035838N6) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1629062518
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. BRENDA CAROL HEROLDCredential: PMHNP
Location Address2905 SE MADISON STPortland, OR 97214-4154
Mailing AddressPo Box 14189Portland, OR 97293-0189 · (503) 320-5001 · Fax (503) 234-1952
Fax(503) 234-1952
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateMay 15, 2012
NPI 1629062518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 000035838N6
2905 SE MADISON ST, Portland, OR 97214

Other Identifiers 1

Medicare UPINS63206OR

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
2905 SE MADISON ST
PORTLAND, OR 97214

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 Brenda Herold's NPI number?

The NPI number for Brenda Herold is 1629062518. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Brenda Herold located?

Brenda Herold practices at 2905 SE Madison St, Portland, OR 97214. The listed phone number is (503) 320-5001.

What is Brenda Herold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Brenda Herold was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.