Individual
DR. MARK LELAND MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 SW SAM JACKSON PARK RD STE 1B, PORTLAND, OR 97239-3095
(503) 221-3424
(503) 221-3490
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(503) 221-3424
(503) 221-3490
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD229197
OR
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2013003538
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD229197
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013888
—
MO
Enumeration date
07/26/2008
Last updated
04/30/2026
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