| Mary Irene Hernandez, MPT, CWS | |
|
1900 Woodland Dr, Coos Bay, OR 97420 | |
| (541) 267-5151 | |
| (541) 267-2233 |
| Full Name | Mary Irene Hernandez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174517528 | NPI | - | NPPES |
| CB3544 | Other | OR | TRAV RR GROUP PTAN NUMBER |
| 297645 | Medicaid | OR | |
| P00317115 | Other | OR | TRAV RR PTAN NUMBER |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 1407812365 | Other | OR | MEDICARE GROUP NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3749 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Irene Hernandez, MPT, CWS 1900 Woodland Dr, Coos Bay, OR 97420 Ph: (541) 267-5151 | Mary Irene Hernandez, MPT, CWS 1900 Woodland Dr, Coos Bay, OR 97420 Ph: (541) 267-5151 |
John Charles Delarosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 | |
Horace J Ferrante Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Michael Wilkins Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Lawrence R Cheal, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mrs. Mirian W Groenendaal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1957 Thompson Rd., Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 | |
Mr. Thomas S Zomerschoe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 Thompson Rd, Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 |