Provider Demographics
NPI:1275895310
Name:CASTILLO, LINA ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:ISABEL
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:620 NW 11TH ST STE M201
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-6941
Mailing Address - Country:US
Mailing Address - Phone:415-289-4118
Mailing Address - Fax:541-667-3484
Practice Address - Street 1:600 NW11TH STREET, SUITE E33
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:541-667-9740
Practice Address - Fax:541-667-3732
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD1849172080P0206X, 208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology