Carrillo, Mayra Colin

Carrillo, Mayra Colin is an individual health care provider with primary practice located at 104 S.W. Kinkade Rd. , Boardman OR 97818. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carrillo, Mayra Colin can be contacted via phone (541) 481-2911.

Contact Information

Primary practice address
104 S.W. Kinkade Rd. Boardman OR 97818
Fax: (541) 481-2006
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801151121
LBN Legal business name Carrillo, Mayra Colin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Jul 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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