Individual
CESAR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
521 NE 75TH AVE APT 2, PORTLAND, OR 97213-6225
(805) 300-9740
Mailing address
521 NE 75TH AVE APT 2, PORTLAND, OR 97213-6225
(805) 300-9740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25249
OR
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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