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Individual

DR. PATRICIA EDEN FERNANDEZ MILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16770 SW EDY RD, SUITE 102, SHERWOOD, OR 97140-9678
(503) 216-9600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41622
AZ
207Q00000X
Family Medicine Physician
Primary
MD170193
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500678492
OR
01
P014383736
RR MEDICARE (PH&S)
OR
Enumeration date
04/26/2007
Last updated
10/19/2020
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