IndividualActive
Amy Herzog, RDA
NPI 1467856013 · Dental Assistant · Vancouver, WA
Provider details
- NPI number
- 1467856013
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- RDA
- Sex
- Female
- Sole proprietor
- No
- License
- 60060516 (WA)
Specialties & taxonomies
Dental Providers
Practice location
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 896-4484
Fax: (360) 896-4489
Approximate (ZIP-level) locationGet directions
Mailing address
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2014-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.