Organization
BRIDGE HEALTH COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER NICOLE HERNANDEZ PA-C (OWNER)
(541) 733-5403
Entity
Organization
Contact information
Practice address
133 BRANDY LN, ROSEBURG, OR 97471-9011
(541) 733-5403
Mailing address
133 BRANDY LN, ROSEBURG, OR 97471-9011
(541) 733-5403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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