Individual
JULIE A DEMILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP, CDE
Contact information
Practice address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045-4076
(503) 655-8471
(503) 655-8595
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 655-8471
(503) 655-8374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250158NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659624
STATE LICENSE
TX
Enumeration date
07/31/2007
Last updated
07/14/2014
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