Individual
MARIELA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
(541) 278-5419
Mailing address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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