Individual
ANGELYN KROSS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-7520
Mailing address
3195 KINSROW AVE, #267, EUGENE, OR 97401-8066
(760) 716-3474
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201405261RN
OR
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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