Individual
AESHA MARIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5331 S MACADAM AVE STE 285, PORTLAND, OR 97239-3849
(503) 206-4082
Mailing address
5331 S MACADAM AVE STE 285, PORTLAND, OR 97239-3849
(971) 277-1298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6257
OR
Other
Enumeration date
10/31/2022
Last updated
08/04/2026
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