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Individual

TARRA LYNNE CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, NMNP

Contact information

Practice address
333 SE 7TH AVE STE 5500, HILLSBORO, OR 97123-4185
(503) 597-4500
(505) 974-5015
Mailing address
PO BOX 6149, BEAVERTON, OR 97007-0149
(503) 352-8642
(503) 352-8658

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201050062NP
OR
367A00000X
Advanced Practice Midwife
60125680
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235459041
WA
05
500634641
OR
Enumeration date
06/03/2010
Last updated
11/02/2018
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