Individual
BRENNA LAINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070-7835
(619) 992-2543
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(619) 992-2543
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202008544NP-PP
OR
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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