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Jennifer Portillo

NPI 1801446679 · on the registry since 2019

Practice

Address
116 Se D St Ste A
Madras, OR 97741
Phone
(541) 904-5216
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon