Individual
FELISHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
320 CENTRAL AVE STE 304, COOS BAY, OR 97420-2241
(541) 269-0800
(541) 269-0444
Mailing address
320 CENTRAL AVE STE 304, COOS BAY, OR 97420-2241
(541) 269-0800
(541) 269-0444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201508553NP-PP
OR
363LF0000X
Family Nurse Practitioner
991948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500699653
OHP
OR
Enumeration date
11/28/2014
Last updated
03/08/2022
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