Search › Oregon › 106S00000X
Ivan Tapia Hernandez
NPI 1093274136 · on the registry since 2019
Practice
- Address
- 130 Se 105th Ave Apt C1
Portland, OR 97216 - Phone
- (707) 849-4576
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon