Individual provider · Type 1 NPI

Mayra Marlene Portillo, WHNP-BC

Women's Health Nurse Practitioner · Riverside, CA

NPI number 1780296384 Active

Practice location

3772 Tibbetts St
Riverside, CA 92506-2605

Specialties and licenses

Taxonomy	Code	License
Women's Health Nurse Practitioner Primary	363LW0102X	95013841 (CA)

Women's Health Nurse Practitioner: Definition to come...

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Cassie L. Terrazone, RNRegistered Nurse Riverside, CA NPI 1902513096
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Jacqueline Sofia Gutierrez, REGISTERED NURSERegistered Nurse Riverside, CA NPI 1740067917
Jennifer Estrada, PAPhysician Assistant Riverside, CA NPI 1710982954

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About NPI 1780296384

Mayra Marlene Portillo, WHNP-BC's National Provider Identifier is 1780296384, issued on Aug 17, 2020. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Riverside, CA. The record was last updated on Jun 27, 2025.