Individual
DR. FREDERIC ELARIO CIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-3860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35086094
OH
207P00000X
Emergency Medicine Physician
Primary
MD26597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2598112
—
OH
Enumeration date
02/27/2006
Last updated
02/01/2022
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