| Lilian Renata Bornio Carrillo, | |
|
16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376 | |
| (503) 658-9351 | |
| (541) 708-5934 |
| Full Name | Lilian Renata Bornio Carrillo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 16463 Boones Ferry Rd Ste 300, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275127979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA211394 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lilian Renata Bornio Carrillo, 232 Nw 6th Ave, Portland, OR 97209-3609 Ph: (503) 294-1681 | Lilian Renata Bornio Carrillo, 16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035-4376 Ph: (503) 658-9351 |
Amanda Leigh Barclay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034 Phone: 503-872-2440 | |
Ms. Julie Lyn Cramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 541-969-7466 Fax: 855-529-7962 | |
Ms. Stacy R. Hampton, PHARM.D., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035 Phone: 541-808-1093 Fax: 541-738-2106 | |
Megan Elaine Hunt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Colin Zelimir Barich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
James Herbert Moorman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035 Phone: 503-473-6345 | |
Mr. Anthony Lance Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 |