Individual
ASTIN MARY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
25050 SE STARK ST STE 265, GRESHAM, OR 97030-3388
(503) 674-1520
Mailing address
16233 S CREEK HAVEN LN, BEAVERCREEK, OR 97004-9694
(503) 545-1892
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10033752
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
10033752
OR
Other
Enumeration date
10/12/2024
Last updated
01/31/2025
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