Individual provider · Type 1 NPI

Amanda Hernandez

Mental Health Counselor · Portland, OR

NPI number 1871922328 Active

Practice location

33 NW Broadway
Portland, OR 97209-3580

Mailing address

1132 SW 13th Ave
Portland, OR 97205-1703

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1871922328

Amanda Hernandez's National Provider Identifier is 1871922328, issued on Nov 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 18, 2020.