Individual
CARLA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 AMY ST APT 6, WEST LINN, OR 97068-3368
(800) 545-0999
Mailing address
5250 AMY ST APT 6, WEST LINN, OR 97068-3368
(800) 545-0999
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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