Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Herzog, PA-C

Individual provider Physician Assistant · NPI 1881169365

Kathleen Herzog, PA-C is a Physician Assistant in Longview, Washington. Qualified in 2018, 8 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
8
Licensed in
AZ, WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1338 Commerce Ave Ste 106
Longview, WA 98632-3732
Phone: (971) 915-8587
Fax: (503) 362-8435
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2415 Ne 134th St Ste 107, Vancouver, WA 98686-3031 — (971) 915-8573

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61098708 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 7266 (AZ)

Record details

NPI number1881169365
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Longview