Provider Demographics
NPI:1104796036
Name:LEMUS HERNANDEZ, WENDY RAQUEL
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:RAQUEL
Last Name:LEMUS HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73875 SW ALLEN BLVD APART 35
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3982
Mailing Address - Country:US
Mailing Address - Phone:936-284-1627
Mailing Address - Fax:
Practice Address - Street 1:73875 SW ALLEN BLVD APART 35
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3982
Practice Address - Country:US
Practice Address - Phone:936-284-1627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula