Individual
DR. PHILIP CARLTON MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13255 SE STARK ST, PORTLAND, OR 97233-1548
(503) 255-1901
(503) 255-3114
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2000
(503) 255-3114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE 60121517
WA
1223G0001X
General Practice Dentistry
Primary
D5838
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228965
OREGON HEALTH PLAN PROVID
OR
Enumeration date
09/26/2006
Last updated
04/30/2015
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