Individual
HAROLD CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
313 PROMONTORY TER, SAN RAMON, CA 94583-1556
(510) 861-3189
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130144LPN
OR
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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