NPI 1003659699

Carmen Portillo

Practitioner Peer Specialist Tulsa, OK

Practice location

Address: 3847 S 98th East Ave, Tulsa, OK 74146-2424
Phone: (918) 699-9373

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003659699
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.