Individual
BRYCE MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44112
MT
207R00000X
Internal Medicine Physician
MD151708
OR
207R00000X
Internal Medicine Physician
MD60554965
WA
208M00000X
Hospitalist Physician
Primary
MD151708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624777
—
OR
Enumeration date
06/06/2008
Last updated
06/18/2021
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