Individual
DR. KRISTIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 NW HAWTHORNE AVE, SUITE 201, GRANTS PASS, OR 97526-1257
(541) 471-3455
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, SUITE 201, GRANTS PASS, OR 97526-1257
(541) 471-3455
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130289
—
OR
Enumeration date
08/19/2005
Last updated
03/23/2012
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