Kathleen Herzog, PA-C
Kathleen Herzog, PA-C is a Physician Assistant in Longview, Washington. Qualified in 2018, 8 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Washington.
- Years since qualifying
- 8
- Licensed in
- AZ, WA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1338 Commerce Ave Ste 106Longview, WA 98632-3732
Phone: (971) 915-8587
Fax: (503) 362-8435
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2415 Ne 134th St Ste 107, Vancouver, WA 98686-3031 — (971) 915-8573
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA61098708 (WA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 7266 (AZ) |
Record details
| NPI number | 1881169365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 10, 2018 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Silver Falls Dermatology Llc — 98 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 719 |
|---|---|
| Services billed | 8,310 |
| Average patient age | 76 |
Payments from drug and device companies, 2025
| Food and Beverage | $1,324 |
|---|---|
| Education | $92 |
Colleagues at Silver Falls Dermatology LLC
- Dr. Lauren Elizabeth Boudreaux, DO Dermatology Physician · Vancouver, WA
- Jarett Casale, DO MOHS-Micrographic Surgery Physician · Chapel Hill, NC
- Dr. Kevin Anthony Fajardo, MD, MPH, MTMH General Practice Physician · Bremerton, WA
- Sterling Farrer, DO Internal Medicine Physician · Corvallis, OR
- Heidi M Hermes Shantz, MD Dermatology Physician · Sequim, WA
- Laurie Jacobson, MD MOHS-Micrographic Surgery Physician · Edmonds, WA
- Kathrynn Jensen, PA-C Physician Assistant · Centralia, WA
- Tiffany Kamrath, NP Family Nurse Practitioner · Salem, OR
- Julie Samantha Kranseler, MD Student in an Organized Health Care Education/Training Program · Seattle, WA
- Laura Morrison, MD Diagnostic Radiology Physician · Seattle, WA
- Dr. Jennifer Lynn Reichel, MD Specialist · Seattle, WA
- Sara Jagels Wagner, PA-C Medical Physician Assistant · Federal Way, WA
Other providers in Longview
-
Mrs. Trudy Martine Doyle, PA-C
1615 Delaware St, Longview, WA 98632-2367 · (360) 747-5800
-
Matthew Elyea, PA-C
1230 7th Ave, Longview, WA 98632-3166 · (800) 813-2000
-
Britta C Fischer, PA-C
783 Commerce Ave Ste 300, Longview, WA 98632-2495 · (360) 423-9528
-
George T Goucher, PA
1718 E Kessler Blvd, Longview, WA 98632-1842 · (360) 747-5800
-
Jonathan Christian Jennings
1718 E Kessler Blvd, Longview, WA 98632-1842 · (360) 747-5800
-
Matthew Johnson, PHYSICIANASSISTANT
1615 Delaware St, Longview, WA 98632-2367 · (360) 414-2730
-
Jeff P Jolly, PA
1615 Delaware St, Longview, WA 98632-2310 · (360) 414-2360
-
Amy C Josephson, PA-C
1615 Delaware St, Longview, WA 98632-2367 · (360) 414-2000