Individual
BRIAN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
891 23RD ST NE, SALEM, OR 97301-1793
(503) 364-2181
(503) 364-0364
Mailing address
891 23RD ST NE, SALEM, OR 97301-1793
(503) 364-2181
(503) 364-0364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169475
OR
Other
Enumeration date
04/02/2013
Last updated
11/05/2014
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