Individual
CAROLINE G CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD191419
OR
207RI0200X
Infectious Disease Physician
Primary
MD191419
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/17/2010
Last updated
08/09/2019
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