Provider Demographics
NPI:1346358058
Name:HERING, CAMMIE (MA)
Entity Type:Individual
Prefix:
First Name:CAMMIE
Middle Name:
Last Name:HERING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 SW CEDAR ST APT 65
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-2354
Mailing Address - Country:US
Mailing Address - Phone:503-229-3160
Mailing Address - Fax:503-297-3857
Practice Address - Street 1:8005 SW CEDAR ST APT 65
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-2354
Practice Address - Country:US
Practice Address - Phone:503-229-3160
Practice Address - Fax:503-297-3857
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health