Individual
AESHA MARIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1530 E 1ST ST, NEWBERG, OR 97132-3237
(503) 538-7338
Mailing address
PO BOX 235, CLACKAMAS, OR 97015-0235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6257
OR
Other
Enumeration date
10/31/2022
Last updated
04/13/2023
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