Individual
DR. JO CAROLYN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-4323
(503) 215-0297
Mailing address
PO BOX 3395, PORTLAND, OR 97208-3395
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD15359
OR
Other
Enumeration date
05/07/2007
Last updated
07/09/2007
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