Individual
DR. GERALD WENDAL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1960 NW 167TH PLACE, SUITE 103, BEAVERTON, OR 97006
(503) 466-1823
(503) 466-1823
Mailing address
1960 NW 167TH PLACE, SUITE 103, BEAVERTON, OR 97006
(503) 466-1823
(503) 466-1823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16819
OR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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