Individual
CRISTAL HERNANDEZ-MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
965 TUCKER RD, HOOD RIVER, OR 97031-9591
(541) 386-6665
Mailing address
965 TUCKER RD, HOOD RIVER, OR 97031-9591
(541) 386-6665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053368100
—
OR
Enumeration date
03/07/2019
Last updated
06/13/2019
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