Individual
MARTIN ALEJANDRO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23100 PACIFIC HWY S STE 201, DES MOINES, WA 98198-7281
(206) 824-9500
Mailing address
177 NE 147TH AVE APT 233, PORTLAND, OR 97230-4270
(661) 429-1219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR.CH.61507620
WA
Other
Enumeration date
11/30/2023
Last updated
01/18/2024
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