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NPI Code Detail

MEDICARE: NOELIA HERNANDEZ MPH

MEDICARE: NOELIA HERNANDEZ MPH
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
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General Provider Information

NPI Number : 1700435823
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELIA HERNANDEZ MPH
Provider Business Mailing Address
First Line : 4017 SW COLLINS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97219-6025
Country : US
Telephone Number : 503-869-3470
Fax Number :
Provider Business Practice Location Address
First Line : 4017 SW COLLINS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97219-6025
Country : US
Telephone Number : 503-869-3470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 04/30/2024

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Directions to “ NOELIA HERNANDEZ MPH” Practice Location

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