Individual
KIEU HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 494-6400
Mailing address
2140 S IVY ST, CORNELIUS, OR 97113-7359
(832) 589-2530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10034954
OR
Other
Enumeration date
11/06/2024
Last updated
03/24/2025
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