Individual
GREGORY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-8010
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042.0011077
VT
2084P0800X
Psychiatry Physician
223300
MA
2084P0800X
Psychiatry Physician
Primary
MD177057
OR
Other
Enumeration date
02/07/2006
Last updated
12/22/2016
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