Individual
DORIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 7TH ST NW, SALEM, OR 97304
(503) 371-9123
Mailing address
PO BOX 20494, KEIZER, OR 97307-0494
(503) 371-9123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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