Individual
JASMINE HERNANDEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 585-4949
Mailing address
3160 CENTER ST NE, SALEM, OR 97301-4530
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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