MIDORI PORTILLO

PORTLAND, OR
NPI1154887180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-02-14
Last Update Date2019-02-14
Business Address
MIDORI PORTILLO
4410 NE 80TH AVE
PORTLAND, OR 97218-4216
Phone number: 408-250-4744
Mailing Address
MIDORI PORTILLO
4410 NE 80TH AVE
PORTLAND, OR 97218-4216
Phone number: 408-250-4744