Individual
JILLIAN M. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2280 MARCOLA ROAD, SPRINGFIELD, OR 97477
(541) 747-4300
Mailing address
2280 MARCOLA ROAD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 744-6116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150773
OR
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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