Individual
GREGORY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
06/19/2024
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