Federico Fenton Portillo, M.D.
Internal Medicine in Everett, WA. Individual provider (NPI-1).
NPI number1891136842
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1891136842
- Entity type
- Individual (NPI-1)
- Name
- Federico Fenton Portillo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2013
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD60639341 | WA | Yes |
| 207R00000X | Internal Medicine | R-9606 | IA | |
| 208M00000X | Hospitalist | MD60639341 | WA |
Practice location
1321 Colby AveEverett, WA 98201-1665
Phone 425-261-2000
Mailing address
Po Box 3360Portland, OR 97208-3360
Phone 866-747-2455
Other practice locations
3901 Hoyt Ave
Everett, WA 98201-4918
Everett, WA 98201-4918
Phone 425-259-0966
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