IndividualActive
Luis Carrillo, FNP
NPI 1083617658 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1083617658
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 200550017NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6538 N Kerby Ave
Portland, OR 97217-1939
Phone: (503) 283-8351
Street-level locationGet directions
Mailing address
6538 N Kerby Ave
Portland, OR 97217-1939
Additional practice locations (4)
- 727 W Burnside StPortland, OR 97209-3514Phone: (503) 228-4533
- 8225 Ne Wasco St Ste 300Portland, OR 97220-5784Phone: (971) 361-7711
- 12121 E Burnside StPortland, OR 97216-3737Phone: (971) 361-7700
- 1535 N Williams AvePortland, OR 97227-1885Phone: (503) 238-2067
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.