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1154173060
JOSE M CARRILLO-CASTRO
PORTLAND, OR
NPI
1154173060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
JOSE M CARRILLO-CASTRO MD
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266-2954
Phone number: 503-215-9850
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Mailing Address
JOSE M CARRILLO-CASTRO MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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