LUIS FERNANDO CARRILLO

PORTLAND, OR
NPI1083617658
Professional NameFERNANDO CARRILLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200550017)
Enumeration Date2005-05-27
Last Update Date2007-07-08
Business Address
Mr. LUIS FERNANDO CARRILLO FNP
6538 N KERBY AVE
PORTLAND, OR 97217-1939
Phone number: 503-283-8351
Mailing Address
Mr. LUIS FERNANDO CARRILLO FNP
6538 N KERBY AVE
PORTLAND, OR 97217-1939
Phone number: 503-283-8351