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Individual

DR. JACOB A HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
813 SW HIGHLAND AVE STE 103, REDMOND, OR 97756-3103
(541) 516-0060
Mailing address
411 LEWIS ST, SILVERTON, OR 97381-1737
(541) 516-0060

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6413
OR
111N00000X
Chiropractor
Primary
CH61475432
WA

Other

Enumeration date
10/20/2023
Last updated
03/20/2026
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