Individual
ANASTACIA DOMINGA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1270 CHARNELTON ST FL 2, EUGENE, OR 97401-3430
(541) 636-8918
Mailing address
1270 CHARNELTON ST FL 2, EUGENE, OR 97401-3430
(541) 636-8918
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
THW000106670
OR
374J00000X
Doula
Primary
THW000106670
OR
Other
Enumeration date
05/20/2022
Last updated
12/12/2024
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