Paul Hernandez

NPI #1295159796 in Fairview, Oregon

Provider Information

NPI Number: 1295159796
Entity Type: Individual
Name: Paul Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 5, 2014
Last Updated: Feb 5, 2014

Practice Location

Address: 1480 NE VILLAGE ST
City: Fairview
State: Oregon
ZIP Code: 97024-3827
Phone: (503) 489-6250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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