Organization
GORDON A MILLER, MD
Active
Other names
Willamette Valley Eye SurgiCenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON A MILLER MD (OWNER)
(503) 363-1500
Entity
Organization
Contact information
Practice address
2001 COMMERCIAL ST SE, SALEM, OR 97302-5207
(503) 363-1500
(503) 588-2028
Mailing address
2001 COMMERCIAL ST SE, SALEM, OR 97302-5207
(503) 363-1500
(503) 588-2028
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
07-1431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018031
—
OR
Enumeration date
09/13/2007
Last updated
08/23/2013
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