Jessica Hernandez
Jessica Hernandez is an Emotionally Disturbed Childrens' Residential Treatment Facility in Corvallis, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4400 NW Walnut Blvd Apt 71Corvallis, OR 97330-3298
Phone: (541) 740-0708
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1336004233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 22, 2025 |
| Last updated in NPPES | December 22, 2025 |
| Certification date | December 22, 2025 |
| Mailing address | 4400 Nw Walnut Blvd Apt 71, Corvallis, OR 97330-3298 |
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