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Mr. Luis Fernando Carrillo, FNP
Family Nurse Practitioner in Portland, Oregon
NPI 1083617658

Luis Fernando Carrillo is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Luis Fernando Carrillo practices in Portland, OR and has the professional credentials of FNP. The NPI Number for Luis Fernando Carrillo is 1083617658 and holds a License No. (Oregon).

The current practice location address for Luis Fernando Carrillo is 6538 N Kerby Ave, Portland, OR and can be reached out via phone at 503-283-8351.

Location: 6538 N Kerby Ave, Portland, OR, 97217-1939
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Provider Profile Details
NPI Number
1083617658
Provider Name
Luis Fernando Carrillo
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
6538 N Kerby Ave, Portland, OR, 97217-1939
Phone Number
503-283-8351
Fax Number
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0022959 05 OR
ANP 397 01 OR OSBN WORKER'S COMP
institution
Provider Business Practice Location Address Details
Address
6538 N Kerby Ave
City
State
Zip
97217-1939
Phone Number
503-283-8351
Fax Number
person
Provider Business Mailing Address Details
Address
6538 N Kerby Ave
City
State
Zip
97217-1939
Phone Number
503-283-8351
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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