Provider Demographics
NPI:1700435823
Name:HERNANDEZ, NOELIA (MPH)
Entity type:Individual
Prefix:
First Name:NOELIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 SW COLLINS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-6025
Mailing Address - Country:US
Mailing Address - Phone:503-869-3470
Mailing Address - Fax:
Practice Address - Street 1:4017 SW COLLINS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-6025
Practice Address - Country:US
Practice Address - Phone:503-869-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula