Hernandez, Cathleen L

Hernandez, Cathleen L is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 240, Portland OR 97225-6625. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Hernandez, Cathleen L can be contacted via phone (503) 297-1419.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 240 Portland OR 97225-6625
Phone: (503) 297-1419
Fax: (503) 216-2488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17443 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01239 Oregon

Profile Details

NPI number 1124088448
LBN Legal business name Hernandez, Cathleen L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 24th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124088448 NPPES
California MEDICAID 00PA174430

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