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

Thiebaut Thomas Herzog

Individual provider Pediatrics Physician · NPI 1114344058

Thiebaut Thomas Herzog is a Pediatrics Physician in Bend, Oregon. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 382-4321
Show map & directions

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

Additional practice locations (2)

  • 2801 N Gantenbein Ave, Portland, OR 97227-1623 — (503) 276-6500
  • 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105-3901 — (206) 987-2525

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1114344058 (WA)

Record details

NPI number1114344058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESNovember 3, 2022
Certification dateApril 6, 2022

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