Individual provider · Type 1 NPI

Adrian Carrillo

Massage Therapist · Portland, OR

NPI number 1972499861 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Mailing address

1710 NE Multnomah St Apt 223
Portland, OR 97232-3647

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28342 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1972499861

Adrian Carrillo's National Provider Identifier is 1972499861, issued on Jun 16, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2025.