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PETER MICHAEL MILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
910 S CENTRAL AVE, MEDFORD, OR 97501-7822
(541) 618-1380
(541) 618-1385
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201903896NP-PP
OR

Other

Enumeration date
06/19/2016
Last updated
10/13/2022
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