HEIDI PORTILLO, PA-C
Physician Assistant
Active
Individual
NPI: 1629751490
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 10004930A (IN) |
Frequently Asked Questions
NPI 1629751490 is the National Provider Identifier for HEIDI PORTILLO, PA-C, a Physician Assistant provider located in Kettering, OH. This NPI was enumerated on August 9, 2023.
HEIDI PORTILLO, PA-C practices at 3535 SOUTHERN BLVD, Kettering, OH 45429.
Quick Facts
- NPI
- 1629751490
- Type
- Individual
- Enumerated
- Aug 9, 2023
- Last Updated
- Nov 25, 2025
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