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NPI Code Detail

MEDICARE: BRIANA HERNANDEZ

MEDICARE: BRIANA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator26-QMHA-I-005406OR

General Provider Information

NPI Number : 1750239604
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA HERNANDEZ
Provider Business Mailing Address
First Line : 6605 SE LAKE RD
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6605 SE LAKE RD
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2161
Country : US
Telephone Number : 503-655-8401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ BRIANA HERNANDEZ ” Practice Location

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