Individual
ALYSSA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 N ALBINA AVE APT B106, PORTLAND, OR 97227-1395
(510) 648-8036
Mailing address
3811 N ALBINA AVE APT B106, PORTLAND, OR 97227-1395
(510) 648-8036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10015482
OR
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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