Provider Demographics
NPI:1053202101
Name:HERRERA, KAYDA (RN)
Entity type:Individual
Prefix:MRS
First Name:KAYDA
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 SW SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3740
Mailing Address - Country:US
Mailing Address - Phone:541-656-5779
Mailing Address - Fax:
Practice Address - Street 1:3001 ST ANTHONY WAY
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3836
Practice Address - Country:US
Practice Address - Phone:541-966-0535
Practice Address - Fax:541-278-4597
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10029113163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse