Individual
MS. GAYLE MELINDA MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4610 SE BELMONT ST, SUITE 60, PORTLAND, OR 97215-1752
(503) 988-5303
(503) 988-5112
Mailing address
418 NE BRIDGETON RD, PORTLAND, OR 97211-1051
(503) 539-7884
(503) 988-5112
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
093007089N1 FNP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150907
—
OR
Enumeration date
06/12/2006
Last updated
07/08/2007
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