Iontray Carrillo

NPI #1174114037 in Tigard, Oregon

Provider Information

NPI Number: 1174114037
Entity Type: Individual
Name: Iontray Carrillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 8915 SW CENTER ST
City: Tigard
State: Oregon
ZIP Code: 97223-6307
Phone: (503) 726-3690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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