MRS. Carmen Portillo

NPI #1003659699 in Tulsa, Oklahoma

Provider Information

NPI Number: 1003659699
Entity Type: Individual
Name: MRS. Carmen Portillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 13, 2024
Last Updated: Jun 13, 2024

Practice Location

Address: 3847 S 98TH EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74146-2424
Phone: (918) 699-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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