IndividualActive
Randy Hernando, PTA
NPI 1508047432 · Physical Therapy Assistant · Milwaukie, OR
Provider details
- NPI number
- 1508047432
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 6569 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4560 Se International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222
Phone: (971) 206-5149
Fax: (971) 206-5209
Approximate (ZIP-level) locationGet directions
Mailing address
4560 Se International Way
Milwaukie, OR 97222
Registry dates
- Enumerated
- 2007-11-20
- Last updated
- 2007-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.