Individual
MRS. AMY MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
3025 RYAN DR SE, SALEM, OR 97301-5057
(503) 540-9999
(503) 540-3105
Mailing address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA169940
OR
Other
Enumeration date
09/26/2014
Last updated
02/20/2024
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