Individual
SALVADOR PORTILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08036
MD
Other
Enumeration date
04/06/2021
Last updated
07/02/2026
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