Individual
ADAM CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 276-5121
Mailing address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 276-5121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3117
NV
Other
Enumeration date
05/07/2015
Last updated
05/18/2015
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