Individual
DR. M PILAR HERNANDEZ-WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1725 SE TENINO ST, PORTLAND, OR 97202-6751
(443) 220-3755
Mailing address
1725 SE TENINO ST, PORTLAND, OR 97202-6751
(443) 220-3755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC 3278
MD
106H00000X
Marriage & Family Therapist
Primary
T0971
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014240441AA
REGENCE
OR
Enumeration date
12/14/2009
Last updated
04/02/2015
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