Search › Oklahoma › Peer Specialist
Manolito Portillo
NPI 1932749157 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8501 Nw Madische Rd
Lawton, OK 73507 - Phone
- (580) 492-3614
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Also registered as
- Peer Specialist
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-15
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 Oklahoma