Jesus Carrillo

NPI #1013782788 in Woodburn, Oregon

Provider Information

NPI Number: 1013782788
Entity Type: Individual
Name: Jesus Carrillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 22, 2023
Last Updated: Jan 15, 2025

Practice Location

Address: 1175 MOUNT HOOD AVE
City: Woodburn
State: Oregon
ZIP Code: 97071-9060
Phone: (503) 982-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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