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Anthony Hernandez
Family Nurse Practitioner in Lake Oswego, Oregon
NPI 1083130058

Anthony Hernandez is a Family Nurse Practitioner based in Eugene, OR and is specialized in Family. Anthony Hernandez practices in Lake Oswego, OR. The NPI Number for Anthony Hernandez is 1083130058 and holds a License No. 201706721NP-PP (Oregon).

The current practice location address for Anthony Hernandez is 5 Centerpointe Dr Ste 600, Lake Oswego, OR and can be reached out via phone at 503-603-7355.

Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR, 97405-1729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083130058
Provider Name
Anthony Hernandez
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 Centerpointe Dr Ste 600, Lake Oswego, OR, 97405-1729
Phone Number
503-603-7355
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201706722DP 01 OR OREGON DISPENSING PRIVILEGE
institution
Provider Business Practice Location Address Details
Address
5 Centerpointe Dr Ste 600
City
Lake Oswego
State
Oregon
Zip
97035-8662
Phone Number
503-603-7355
Fax Number
person
Provider Business Mailing Address Details
Address
5 Centerpointe Dr Ste 600
City
Lake Oswego
State
Oregon
Zip
97035-8662
Phone Number
503-603-7355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201706721NP-PP (Oregon)
Definition
Definition to come...
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