Individual
ASTIN MARY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 346-8021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10033752
OR
363LA2200X
Adult Health Nurse Practitioner
10033752
OR
Other
Enumeration date
10/12/2024
Last updated
06/02/2026
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