Individual
MRS. MEGAN LENORE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
650 SE OAK ST, HILLSBORO, OR 97123-4120
(503) 953-2115
Mailing address
4150 NE LAURA ST, HILLSBORO, OR 97124-6357
(503) 953-2115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
314593
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314593
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
OR
Enumeration date
05/21/2015
Last updated
05/21/2015
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