Individual
MR. SCOTT C. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2632 E ST STE H, WASHOUGAL, WA 98671-1714
(360) 818-7500
(360) 818-7503
Mailing address
2632 E ST STE H, WASHOUGAL, WA 98671-1714
(360) 818-7500
(360) 818-7503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-60427988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-60427988
WA STATE LICENSE
WA
Enumeration date
08/10/2007
Last updated
05/30/2019
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