Individual provider · Type 1 NPI

Luis Fernando Carrillo, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1083617658 Active

Practice location

6538 N Kerby Ave
Portland, OR 97217-1939

Other practice locations

  • 1535 N Williams Ave, Portland, OR 97227-1885 · (503) 238-2067
  • 8225 NE Wasco St Ste 300, Portland, OR 97220-5784 · (971) 361-7711
  • 12121 E Burnside St, Portland, OR 97216-3737 · (971) 361-7700
  • 727 W Burnside St, Portland, OR 97209-3514 · (503) 228-4533

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200550017NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1083617658

Luis Fernando Carrillo, FNP's National Provider Identifier is 1083617658, issued on May 27, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Apr 2, 2025.