Provider Demographics
NPI:1295236362
Name:SANTILLANO, CIRILA SARINANA
Entity type:Individual
Prefix:
First Name:CIRILA
Middle Name:SARINANA
Last Name:SANTILLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1322
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-1322
Mailing Address - Country:US
Mailing Address - Phone:541-213-7755
Mailing Address - Fax:866-497-3686
Practice Address - Street 1:PO BOX 1322
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97709-1322
Practice Address - Country:US
Practice Address - Phone:541-213-7755
Practice Address - Fax:866-497-3686
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500829182Medicaid