Individual
CARRIE E MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5251 NE GLISAN ST, 2ND FLOOR, PORTLAND, OR 97213-3052
(503) 215-4860
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28597
OR
2084P0800X
Psychiatry Physician
Primary
MD28597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270946
—
OR
05
—
500626957
—
OR
Enumeration date
05/03/2006
Last updated
08/27/2013
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