Individual
ELIZABETH T MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
2150 NE DAGGETT LN, BEND, OR 97701-6560
(541) 323-3850
(541) 383-1883
Mailing address
600 SW COLUMBIA ST STE 6210, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201350012NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653833
—
OR
Enumeration date
01/19/2010
Last updated
07/21/2022
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