Individual
KIRSTEN MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132
(503) 537-1796
Mailing address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201500781CRNA
OR
390200000X
Student in an Organized Health Care Education/Training Program
200841359RN
OR
Other
Enumeration date
09/12/2012
Last updated
07/10/2018
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