Individual
MADELYN E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10015818
OR
363LF0000X
Family Nurse Practitioner
10015818
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
10015818
OR
Other
Enumeration date
04/06/2023
Last updated
06/26/2025
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