Individual
LAURA RODRIGUEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 233-6090
Mailing address
11370 S RIVERSIDE DR, PORTLAND, OR 97219-8437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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