Individual provider · Type 1 NPI
Jessica Hernandez
Emotionally Disturbed Childrens' Residential Treatment Facility · Corvallis, OR
Practice location
4400 NW Walnut Blvd Apt 71
Corvallis, OR 97330-3298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1336004233
Jessica Hernandez's National Provider Identifier is 1336004233, issued on Dec 22, 2025. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Corvallis, OR. The record was last updated on Dec 22, 2025.