Individual provider · Type 1 NPI

Adrian Leonardo Portillo

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1619657343 Active

Practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Call (385) 272-2161 Map

Mailing address

5641 W Fallen Oak Rd
West Valley City, UT 84118-6060

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 1619657343

Adrian Leonardo Portillo's National Provider Identifier is 1619657343, issued on Jul 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 18, 2023.