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Juan Luis Castillo
Family Nurse Practitioner in Salem, Oregon
NPI 1053778910

Juan Luis Castillo is a Family Nurse Practitioner based in Salem, OR and is specialized in Family. Juan Luis Castillo practices in Salem, OR. The NPI Number for Juan Luis Castillo is 1053778910 and holds a License No. 201600993NP-PP (Oregon).

The current practice location address for Juan Luis Castillo is 1880 Lancaster Dr Ne Ste 108, Salem, OR and can be reached out via phone at 971-273-0679 and via fax at 503-961-0794.

Location: 1880 Lancaster Dr Ne Ste 108, Salem, OR, 97305-1065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053778910
Provider Name
Juan Luis Castillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1880 Lancaster Dr Ne Ste 108, Salem, OR, 97305-1065
Phone Number
971-273-0679
Fax Number
503-961-0794
Provider Enumeration Date
01/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500706549 05 OR
institution
Provider Business Practice Location Address Details
Address
1880 Lancaster Dr Ne Ste 108
City
Salem
State
Oregon
Zip
97305-1065
Phone Number
971-273-0679
Fax Number
503-961-0794
person
Provider Business Mailing Address Details
Address
1880 Lancaster Dr Ne Ste 108
City
Salem
State
Oregon
Zip
97305-1065
Phone Number
971-273-0679
Fax Number
503-961-0794
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201600993NP-PP (Oregon)
Definition
Definition to come...
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