Hernandez, Karen

Hernandez, Karen is an sole proprietor health care provider with primary practice located at 12750 Sw 2Nd St Suite 202, Beaverton OR 97005-2778. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hernandez, Karen can be contacted via phone (503) 803-9530.

Contact Information

Primary practice address
12750 Sw 2Nd St Suite 202 Beaverton OR 97005-2778
Fax: (503) 642-3179
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1596 Oregon

Profile Details

NPI number 1699828020
LBN Legal business name Hernandez, Karen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Oct 6th, 2011 - about 13 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 1699828020 NPPES
Oregon MEDICAID 029142

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