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Individual

GINA ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
425 N SANTIAM HWY, LEBANON, OR 97355
(541) 451-6960
(541) 451-7271
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3837
CO
207Q00000X
Family Medicine Physician
51731
CO
207Q00000X
Family Medicine Physician
Primary
MD187492
OR

Other

Enumeration date
05/23/2011
Last updated
02/11/2021
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