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1083617658
LUIS FERNANDO CARRILLO
PORTLAND, OR
NPI
1083617658
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Professional Name
FERNANDO CARRILLO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200550017)
Enumeration Date
2005-05-27
Last Update Date
2007-07-08
Business Address
Mr. LUIS FERNANDO CARRILLO FNP
6538 N KERBY AVE
PORTLAND, OR 97217-1939
Phone number: 503-283-8351
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Mailing Address
Mr. LUIS FERNANDO CARRILLO FNP
6538 N KERBY AVE
PORTLAND, OR 97217-1939
Phone number: 503-283-8351
Copy
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