Individual
CALLIE JAN PRUITT MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1130
(541) 274-6733
(541) 274-4225
Mailing address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1130
(541) 274-6733
(541) 274-4225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202631
OR
Other
Enumeration date
05/14/2019
Last updated
01/13/2026
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