Individual
GABRIELLA CRYSTAL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
(503) 772-4337
Mailing address
5401 SE WOODSTOCK BLVD APT 209, PORTLAND, OR 97206-6882
(971) 401-0169
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114750
OR
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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