Individual
DR. MICHELLE R MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 SW BOND ST, BEND, OR 97702-3593
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46554
CO
208000000X
Pediatrics Physician
Primary
MD29395
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL-1770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608725
—
OR
Enumeration date
01/26/2007
Last updated
04/07/2021
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