Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesus Carrillo

Individual provider Family Medicine Physician · NPI 1013782788

Jesus Carrillo is a Physician Assistant in Woodburn, Oregon. Qualified in 2024, 2 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1175 Mount Hood Ave
Woodburn, OR 97071-9060
Phone: (503) 982-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA222434 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA222434 (OR)

Record details

NPI number1013782788
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2023
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing addressPo Box 190, Toppenish, WA 98948-0190

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodburn