Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Hernandez

Individual provider Family Nurse Practitioner · NPI 1083130058

Anthony Hernandez is a Nurse Practitioner in Lake Oswego, Oregon. Qualified in 2013, 13 years ago. Practices with Marquis Clinical Services LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2017

Practice location Address checks out

5 Centerpointe Dr Ste 600
Lake Oswego, OR 97035-8662
Phone: (503) 603-7355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201706721NP-PP (OR)

Record details

NPI number1083130058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2017
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address2345 Park Ridge Ln, Eugene, OR 97405-1729

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Marquis Clinical Services Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego