Individual
LORENZO DIAZ CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
19221 36TH AVE W STE 213, LYNNWOOD, WA 98036-5700
(425) 368-7943
Mailing address
3280 SW 170TH AVE APT 1516, BEAVERTON, OR 97003-8610
(541) 740-6204
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT70049130
WA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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