Individual
NATHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1140 SW SIMPSON AVE STE 110, BEND, OR 97702-3789
(541) 389-7741
Mailing address
1140 SW SIMPSON AVE STE 110, BEND, OR 97702-3789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210284
OR
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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