ROBERTO HERNANDEZ APRN PMHNP-BC NPI 1285274530

NPI Information

NPI: 1285274530
Provider Name: ROBERTO HERNANDEZ, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3769 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202
Phone: (305) 497-0272
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Roberto Hernandez, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR with 5 years of experience. Roberto Hernandez, APRN, PMHNP-BC NPI is 1285274530. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3769 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-804
Phone: (305) 497-0272

The NPI 1285274530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11005657	FLORIDA	Yes
2	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	APRN11005657	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202006086NP-PP	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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