LILIAN RENATA BORNIO CARRILLO
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1275127979- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16463 BOONES FERRY RD STE 300, LAKE OSWEGO, OR, 970354376
- Phone
- (503) 658-9351
- Fax
- (541) 708-5934
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA211394
Student in an Organized Health Care Education/Training Program
License: OR