Individual
KEITH E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 NW 167TH PL, SUITE 100, BEAVERTON, OR 97006-4803
(503) 672-6000
(503) 672-6001
Mailing address
1960 NW 167TH PL, SUITE 100, BEAVERTON, OR 97006-4803
(503) 672-6000
(503) 672-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18625
OR
Other
Enumeration date
10/01/2006
Last updated
09/25/2013
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