Individual
MR. JOSE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4379
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61017594
WA
Other
Enumeration date
02/06/2020
Last updated
11/28/2023
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