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NPI Code Detail

MEDICARE: DOLLOR CARLO MANALO CASTILLO

MEDICARE: DOLLOR CARLO MANALO CASTILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist60830OR

General Provider Information

NPI Number : 1144817578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLLOR CARLO MANALO CASTILLO
Provider Business Mailing Address
First Line : 3729 CENTURY DR
Second Line :
City : EUGENE
State : OR
Zip : 97402-8763
Country : US
Telephone Number : 541-868-6722
Fax Number :
Provider Business Practice Location Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number : 541-686-2828
Fax Number : 541-242-5670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 12/31/2020

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Directions to “ DOLLOR CARLO MANALO CASTILLO ” Practice Location

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