Individual
DR. RICHARD E. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12016 87TH AVE NE, KIRKLAND, WA 98034-6014
(425) 820-1314
Mailing address
12016 87TH AVE NE, KIRKLAND, WA 98034-6014
(425) 820-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00020745
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026667960001
—
PA
01
—
120929
L&I PROVIDER NUMBER
WA
01
—
202653
L&I PROVIDER NUMBER
WA
01
—
202733
L&I PROVIDER NUMBER
WA
05
—
8131757
—
WA
Enumeration date
01/04/2006
Last updated
02/22/2012
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