Individual
CATHERINE MARY MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PATHOLOGY DEPARTMENT, PORTLAND, OR 97227-1623
(503) 413-2892
(503) 413-2982
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 268-4802
(503) 268-4801
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD15746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041918
—
OR
05
—
8429052
—
WA
01
—
931071318
TAX ID
OR
Enumeration date
02/01/2007
Last updated
04/21/2009
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