Individual
MATTHEW MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # UHN67, PORTLAND, OR 97239-3079
(503) 494-7680
(503) 418-1497
Mailing address
3181 SW SAM JACKSON PARK RD # UHN67, PORTLAND, OR 97239-3079
(503) 494-7680
(503) 418-1497
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
63892
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MM3232267556
—
CA
Enumeration date
04/28/2014
Last updated
05/28/2020
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