Castillo, Tarra Lynne

Castillo, Tarra Lynne is an individual health care provider with primary practice located at 333 Se 7Th Ave Ste 5500 , Hillsboro OR 97123-4185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Castillo, Tarra Lynne can be contacted via phone (503) 597-4500.

Contact Information

Primary practice address
333 Se 7Th Ave Ste 5500 Hillsboro OR 97123-4185
Phone: (503) 597-4500
Fax: (505) 974-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 60125680 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201050062NP Oregon

Profile Details

NPI number 1235459041
LBN Legal business name Castillo, Tarra Lynne
Credentials CNM, NMNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Nov 2nd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235459041 NPPES
Oregon MEDICAID 500634641
Oregon MEDICAID 1235459041

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