Organization
GORDON A MILLER MD PC
Active
Other names
Willamette Valley EyeCenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON A MILLER MD (OWNER)
(503) 363-1500
Entity
Organization
Contact information
Practice address
2001 COMMERCIAL ST SE, SALEM, OR 97302-5207
(503) 363-1500
(503) 588-2028
Mailing address
2001 COMMERCIAL ST SE, SALEM, OR 97302-5207
(503) 363-1500
(503) 588-2028
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD11962
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006291
—
OR
01
—
756183994
RAILROAD MEDICARE
OR
Enumeration date
09/21/2007
Last updated
06/24/2008
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