| Perla Castillo Palacios, RD | |
|
703 Ne Hancock St, Portland, OR 97212-3955 | |
| (503) 230-9875 | |
| (503) 230-9877 |
| Full Name | Perla Castillo Palacios |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 703 Ne Hancock St, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477136901 | NPI | - | NPPES |
| 500792288 | Medicaid | OR | |
| 2178241 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI61321285 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | LD-D-10213953 (Oregon) | Primary |
| Provider Name | Native American Rehabilitation Assoc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396734364 PECOS PAC ID: 2668361585 Enrollment ID: O20040310001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Perla Castillo Palacios, RD 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044 | Perla Castillo Palacios, RD 703 Ne Hancock St, Portland, OR 97212-3955 Ph: (503) 230-9875 |
Kara Marie Odiaga, RD, CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Ne Hancock St, Portland, OR 97212 Phone: 503-493-3322 Fax: 503-287-9434 | |
Mrs. April D Mitsch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Sw Campus Dr, Portland, OR 97239 Phone: 503-494-8362 Fax: 503-494-4447 | |
Julie Marie Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5466 | |
Alavita Perinatal Nutrition Associates, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 106 Sw Woods St Ste A, Portland, OR 97201 Phone: 503-407-2549 | |
Jennifer Christine Kainani Ching, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3530 Se 88th Ave, Portland, OR 97266 Phone: 503-772-4335 Fax: 503-772-4337 | |
Mary Ann Weinberg, RD, CNSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7597 | |
Ms. Janet Lee Muckridge, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Nutrition Department East Interstate, Portland, OR 97227 Phone: 503-286-6871 |