Organization
RAYMOND A MILLETTE
Active
Other names
Millette Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY K TAYLOR (OFFICE MANAGER)
(541) 471-9022
Entity
Organization
Contact information
Practice address
1014 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 471-9022
(541) 471-9055
Mailing address
1014 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 471-9022
(541) 471-9055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200550153
OR
363LF0000X
Family Nurse Practitioner
200550156
OR
363LF0000X
Family Nurse Practitioner
Primary
95000636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026845
—
OR
05
—
272449
—
OR
05
—
292050
—
OR
05
—
297670
—
OR
01
—
P00641991
RAILROAD MEDICARE
OR
01
—
P00655554
RAILROAD MEDICARE
OR
Enumeration date
11/14/2006
Last updated
05/28/2009
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