Individual
PERLA CASTILLO PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 230-9877
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI61321285
WA
133V00000X
Registered Dietitian
Primary
LD-D-10213953
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2178241
—
WA
05
—
500792288
—
OR
Enumeration date
05/03/2021
Last updated
03/28/2024
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