Tristan Lane Herbert
Tristan Lane Herbert is an Adult Companion in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1232 NW 23rd AvePortland, OR 97210-2906
Phone: (503) 227-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1093930026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2007 |
| Last updated in NPPES | September 15, 2007 |
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