Individual
ADJENNIS RIVERA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 SE 97TH AVE STE 340, CLACKAMAS, OR 97015-7903
(503) 655-8045
Mailing address
11576 SE AQUILA ST, HAPPY VALLEY, OR 97086-7673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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