Provider Demographics
NPI:1609539295
Name:HERRERA FLORES, RANFERI NATALIE (MSW)
Entity type:Individual
Prefix:
First Name:RANFERI
Middle Name:NATALIE
Last Name:HERRERA FLORES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RANFERI
Other - Middle Name:NATALIE
Other - Last Name:HERRERA FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RANFERI HERRERA MSW
Mailing Address - Street 1:1904 SE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1146
Mailing Address - Country:US
Mailing Address - Phone:503-517-8663
Mailing Address - Fax:
Practice Address - Street 1:1904 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1146
Practice Address - Country:US
Practice Address - Phone:503-517-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA127901041C0700X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical