Individual
ANDRES P HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII, RN
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
8505 N BURR AVE, PORTLAND, OR 97203-2403
(503) 278-0827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070621
OR
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
10016625
OR
Other
Enumeration date
08/22/2007
Last updated
07/08/2025
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