Individual
DR. JESS RANSOM MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 W MARQUAM ST, MOUNT ANGEL, OR 97362
(503) 845-2000
(503) 845-2384
Mailing address
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643-2895
(423) 542-7420
(423) 542-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101247988
VA
207Q00000X
Family Medicine Physician
Primary
186079
OR
207Q00000X
Family Medicine Physician
53724
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215230651
—
VA
05
—
Q021281
—
TN
Enumeration date
12/07/2010
Last updated
08/02/2018
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