Individual
ALICIA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4420
(360) 676-6177
(360) 671-3574
Mailing address
PO BOX 3885, SEATTLE, WA 98124-3885
(971) 302-9712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
57496
CA
363A00000X
Physician Assistant
Primary
61013938
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/14/2018
Last updated
07/29/2022
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