Individual
RAYMOND J PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4473 PAHEE ST STE L, LIHUE, HI 96766-2037
(808) 632-0200
(808) 632-0201
Mailing address
PO BOX 3068, PORTLAND, OR 97208-3068
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD-20522
HI
207RN0300X
Nephrology Physician
MD00028978
WA
207RN0300X
Nephrology Physician
MD16666
OR
Other
Enumeration date
03/14/2006
Last updated
09/25/2025
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