Jesus Carrillo, is a
Physician Assistant physician based in Woodburn, Oregon. Jesus Carrillo is licensed to practice in Oregon (license number PA222434) and his current practice location is 1175 Mount Hood Ave, Woodburn, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 982-2000.
NPI number for Jesus Carrillo is 1013782788 and his current mailing address is Po Box 190, Toppenish, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013782788.
Physician's Profile
| Full Name | Jesus Carrillo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1175 Mount Hood Ave, Woodburn, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013782788
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 01/15/2025
Medical Identifiers
Medical identifiers for Jesus Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013782788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA222434 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA222434 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesus Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jesus Carrillo,
Po Box 190,
Toppenish, WA 98948-0190
Ph: (509) 865-2395 | Jesus Carrillo,
1175 Mount Hood Ave,
Woodburn, OR 97071-9060
Ph: (503) 982-2000 |
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