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Individual

BRYAN KEIR MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
0010-11278
NC
2080P0203X
Pediatric Critical Care Medicine Physician
0010-11278
NC
363A00000X
Physician Assistant
Primary
PA211691
OR

Other

Enumeration date
05/25/2021
Last updated
08/22/2022
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