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Individual

VICTOR EDUARDO HERNANDEZ TRIANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NREMT, QMHA-R

Contact information

Practice address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
206104
OR
225400000X
Rehabilitation Practitioner
24-QMHA-R-5420
OR

Other

Enumeration date
10/14/2024
Last updated
10/14/2024
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