NPI 1336004233

Jessica Hernandez

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Corvallis, OR

Practice location

Address: 4400 NW Walnut Blvd APT 71, Corvallis, OR 97330-3298
Phone: (541) 740-0708

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1336004233
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2025
Record last updated: 22 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.