LILIAN RENATA BORNIO CARRILLO
Student in an Organized Health Care Education/Training Program

Address: 2730 S Moody Ave, Portland, OR 97201-5042

LILIAN RENATA BORNIO CARRILLO (NPI# 1275127979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275127979
Entity Type Individual
Full Name LILIAN RENATA BORNIO CARRILLO
Gender Female
Practice Address 2730 S Moody Ave
Portland
OR 97201-5042
Practice Telephone 5034943633
Practice Fax Number 5034941409
Mailing Address 2730 S Moody Ave
Portland
OR 97201-5042
Mailing Telephone 5034943633
Mailing Fax Number 5034941409
Certification Date 2021-02-24
Enumeration Date 2021-02-23
Last Update Date 2021-02-24
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program OR Student, Health Care

Office Location

Street Address 2730 S MOODY AVE
City PORTLAND
State OR
Zip Code 97201-5042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023508751 Michael St Amand Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2018-05-17
1336728351 Michael Clayton Reynolds Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-04-06
1053996785 Collin Thomas Perri Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-03-15
1225623663 Allen Yoshinaga Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-03-08
1972198455 Gina Michele Castanares Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-03-05
1740874981 Anna Ayala Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-02-28
1952995144 Morgan Einwaller Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-02-27
1043804206 Sean Patrick Conley Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-02-26
1376137687 Mackenzie Carstens Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-02-26
1538753272 Esther Maccratic Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201-5042 2021-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457971251 Eric Theodore Kriss Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave Bldg, Portland, OR 97201-5042 2020-04-21
1932764222 Tim Sean Haren Student in an Organized Health Care Education/Training Program 2720 Sw Moody Ave, Portland, OR 97201-5042 2019-05-02
1003471426 Alvin Ashneel Prasad Physician Assistant 2730 Sw Moody Ave, Portland, OR 97201-5042 2019-05-01
1326586926 Katherine A Kinser Physician Assistant 2730 Sw Moody Ave # Cl5pa, Portland, OR 97201-5042 2017-02-03
1063596690 Oregon Health and Science University · Ohsu School of Dentistry Dentist 2730 Sw Moody Avenue, Portland, OR 97201-5042 2006-10-24
1154943116 Yves Gacinya Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-13
1639791726 An Ruan Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-11
1427670660 Claudemir Da Silva Lima Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-11
1437771904 Lucia Novak Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-07
1881215358 Donald Alfred Defrang II Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-06
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1245851120 Timothy Scott Ulleseit Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-05-01
1104446681 Skycloud Psychiatry LLC Nurse Practitioner · Psych/Mental Health 106 South West Woods St, Portland, OR 97201 2020-04-24
1154969616 Emily Renee Spiess Specialist/Technologist · Athletic Trainer 930 Sw Hall St, Portland, OR 97201 2019-12-16
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker · Clinical 1505 Sw College St, Portland, OR 97201 2018-04-26
1396233524 Taylor Howick Specialist/Technologist · Athletic Trainer 930 Sw Hall St., Portland, OR 97201 2018-04-24
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1003339375 Paria Mazareei Dentist · General Practice 1505 Broadway, Portland, OR 97201 2017-07-19
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770163073 Alyssa Martinez 8150 Sw Barnes Rd Apt K306, Portland, OR 97225-6379 2021-04-11
1780263558 Amanda Graveson 900 Nw Lovejoy St Apt 1010, Portland, OR 97209-3483 2021-04-07
1730768938 Evnica I Korotkikh 6428 Se Jennings Ave, Portland, OR 97267-6317 2021-04-05
1063090942 Mark Scurrah 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2021-03-31
1407433774 Facundo Gregorio Sanchez 1829 Nw Lovejoy St Unit 212, Portland, OR 97209-1523 2021-03-24
1245816727 Robert Samuel Diaz 3181 Sw Sam Jackson Park Rd L-579, Portland, OR 97239 2021-03-23
1023694866 Claire Mccord Conrad 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 2021-03-22
1831775527 Douglas Alexander Preston 3181 Sw Sam Jackson Park Rd Apt 12, Portland, OR 97239-3079 2021-03-22
1114512332 Diana Karen Lujan Valerio 5415 Sw Westgate Dr, Portland, OR 97221-2409 2021-03-09
1073102869 Brian Michael Thatcher Lifeworks Northwest, 14600 Nw Cornell Road, Portland, OR 97229-5442 2021-01-15
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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