IndividualActive
Paul Hernandez
NPI 1295159796 · Physical Therapist · Fairview, OR
Provider details
- NPI number
- 1295159796
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 06477 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1480 Ne Village St
Fairview, OR 97024-3827
Phone: (503) 489-6250
Fax: (503) 489-1650
Approximate (ZIP-level) locationGet directions
Mailing address
3216 Sw 11th Ave Apt B
Portland, OR 97239-3044
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2014-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.