Individual
MR. ANDREW C MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
(503) 228-4248
Mailing address
4506 NE SIMPSON ST, PORTLAND, OR 97218-1448
(503) 293-9683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12138
OR
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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