Individual
DANIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 W OLIVE ST, NEWPORT, OR 97365-3824
(541) 248-2634
Mailing address
158 W OLIVE ST, NEWPORT, OR 97365-3824
(541) 248-2634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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