Individual
DR. JESSICA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 715-7900
Mailing address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(310) 347-9437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD045439
DC
Other
Enumeration date
05/24/2014
Last updated
07/21/2022
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