Individual
STEVEN ANDREW PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 HUNTER ST, ESPANOLA, NM 87532-2655
(505) 753-4123
Mailing address
636 SUNSET DR, ESPANOLA, NM 87532-9636
(505) 901-9233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
01/13/2026
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