Provider Demographics
NPI:1063209898
Name:HERR, PANG LEE (MS SLP)
Entity type:Individual
Prefix:MRS
First Name:PANG
Middle Name:LEE
Last Name:HERR
Suffix:
Gender:
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16528 SE TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-3953
Mailing Address - Country:US
Mailing Address - Phone:503-515-0017
Mailing Address - Fax:
Practice Address - Street 1:16528 SE TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-3953
Practice Address - Country:US
Practice Address - Phone:503-515-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist