Mr. Manolito Jose Portillo II
Mr. Manolito Jose Portillo II is a Peer Specialist in Lawton, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
8501 NW Madische RdLawton, OK 73507-1221
Phone: (580) 492-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1932749157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2020 |
| Last updated in NPPES | January 15, 2020 |
| Certification date | January 15, 2020 |
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