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Individual

CARMELA C PAJARILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
440 NW DIVISION ST, GRESHAM, OR 97030-5506
(503) 215-9500
(503) 215-9525
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27075
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
241286
OR
01
P00809940
RR MEDICARE
OR
Enumeration date
11/15/2006
Last updated
03/22/2021
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