SHANTI ELIZABETH HERZOG (FNP) – Family Nurse Practitioner, NPI 1770959025

SHANTI ELIZABETH HERZOG (FNP) is a healthcare provider. based in Portland, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. AP60791095 (WA). The NPI Number for SHANTI ELIZABETH HERZOG (FNP) is 1770959025

Main info

Female
Name
SHANTI ELIZABETH HERZOG (FNP)
NPI
1770959025
Phone
(503) 988-5153
Address
5329 NE MARTIN LUTHER KING JR BLVD
Enumeration Date
20 August 2015
Last Update Date
11 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for SHANTI ELIZABETH HERZOG (FNP)

  • 5329 NE MARTIN LUTHER KING JR BLVD

    PORTLAND, OR 972113237

    Phone: (503) 988-5153

    Fax: (503) 988-5152

    Type: Location

  • 2101 E YESLER WAY

    STE 210

    SEATTLE, WA 981225959

    Phone: (503) 988-7468

    Fax: (503) 988-3015

    Type: Mailing

  • 6334 LITTLEROCK RD SW

    TUMWATER, WA 985127332

    Phone: (360) 704-7590

    Fax: (360) 704-7591

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97211)

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Reviews

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Frequently asked questions

Is there an official ID for SHANTI ELIZABETH HERZOG (FNP) in U.S. healthcare records?
The official identifier for SHANTI ELIZABETH HERZOG (FNP) is NPI 1770959025.
Is there an active status for SHANTI ELIZABETH HERZOG (FNP)?
For scheduling context, SHANTI ELIZABETH HERZOG (FNP) is shown as active in the registry.
What kind of doctor is SHANTI ELIZABETH HERZOG (FNP)?
SHANTI ELIZABETH HERZOG (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is SHANTI ELIZABETH HERZOG (FNP) registered?
Use Portland, Oregon as the headline location for SHANTI ELIZABETH HERZOG (FNP) here.
When was this NPI issued?
Enumeration for SHANTI ELIZABETH HERZOG (FNP) is noted as August 20, 2015 where the registry provides it.

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