Individual
JAMIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
43900 SE DEVERELL RD, CORBETT, OR 97019-9766
(503) 333-0724
(877) 835-2648
Mailing address
43900 SE DEVERELL RD, CORBETT, OR 97019-9766
(503) 333-0724
(877) 835-2648
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201243239
OR
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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