Individual
JILL ELAINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510
Mailing address
9555 SW BARNES RD SUITE 255, PORTLAND, OR 97225
(503) 908-1590
(509) 723-2862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21062
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287320
—
OR
Enumeration date
08/01/2006
Last updated
11/30/2018
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