Active NPIIndividual provider

Iontray Carrillo

Counselor in Tigard, Oregon

NPI Number1174114037
Practice location
8915 SW Center St, Tigard, OR 97223-6307
Fax
—
Last updated
February 2, 2021

Iontray Carrillo is a Counselor based in Tigard, OR. Iontray Carrillo practices in Tigard, OR. The NPI Number for Iontray Carrillo is 1174114037. The current practice location address for Iontray Carrillo is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-726-3690.

Provider Profile Details

NPI Number
1174114037
Provider Name
Iontray Carrillo
Provider Entity Type
Individual
Gender
Male
Address
8915 SW Center St, Tigard, OR 97223-6307
Phone Number
503-726-3690
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
February 2, 2021
Last Update Date
February 2, 2021
Certification Date
February 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3690
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
8915 SW Center St
Tigard, OR 97223-6307
City
Tigard
State
OR
Zip
97223-6307
Phone Number
503-726-3690

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Iontray Carrillo?

The NPI number of Iontray Carrillo is 1174114037. It was assigned on February 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Iontray Carrillo?

Iontray Carrillo is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Iontray Carrillo practice?

The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-726-3690 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174114037 directly on the NPPES registry website.

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