Individual
DR. ROGER W MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2095 EXCHANGE ST, SUITE #201, ASTORIA, OR 97103-3417
(503) 338-4455
(503) 338-4837
Mailing address
2095 EXCHANGE ST, SUITE #201, ASTORIA, OR 97103-3417
(503) 338-4455
(503) 338-4837
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD24790
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119841
—
WA
05
—
233147
—
OR
Enumeration date
06/09/2005
Last updated
05/04/2011
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