Provider Demographics
NPI:1932969888
Name:LUIS CASTILLO & PARTNERS LLC
Entity Type:Organization
Organization Name:LUIS CASTILLO & PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:469-514-4966
Mailing Address - Street 1:2505 SE 11TH AVE STE 268
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1063
Mailing Address - Country:US
Mailing Address - Phone:469-514-4966
Mailing Address - Fax:
Practice Address - Street 1:2505 SE 11TH AVE STE 268
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1063
Practice Address - Country:US
Practice Address - Phone:469-514-4966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty