MISS PATRICIA YAMILETH HERNANDEZ MA
NPI 1275898140
Counselor - Professional in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since July 06, 2012PECOS Enrolled

2901 E BURNSIDE ST, PORTLAND, OR 97214(503) 953-0310 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miss Patricia Yamileth Hernandez Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS PATRICIA YAMILETH HERNANDEZ MA (NPI 1275898140) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6773) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1275898140

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS PATRICIA YAMILETH HERNANDEZCredential: MA

Location Address2901 E BURNSIDE STPortland, OR 97214-1831

Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 904-5216 · Fax (541) 527-4347

Phone(503) 953-0310

Sole ProprietorNo

Enumeration DateJuly 6, 2012

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1275898140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C6773

2901 E BURNSIDE ST, Portland, OR 97214

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Secondary Practice Location 1

Location 13415 SE Powell BlvdPortland, OR 97202-3396 · Phone (503) 234-9591

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Patricia Yamileth Hernandez Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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