Individual
DR. RAQUEL GARDENIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(508) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(508) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125058428
IL
207L00000X
Anesthesiology Physician
Primary
DO166136
OR
Other
Enumeration date
06/23/2010
Last updated
12/30/2024
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