Individual provider · Type 1 NPI

Jaime Carrillo, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1528649282 Active

Practice location

1401 Madison St Ste 100
Seattle, WA 98104-1316

Call (206) 386-6054 Map

Fax (206) 215-6027

Mailing address

3901 Montgomery Blvd NE Apt 306
Albuquerque, NM 87109-1086

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528649282

Jaime Carrillo, MD's National Provider Identifier is 1528649282, issued on Apr 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Apr 15, 2021.