Individual
MR. GEORGE HARRIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
Mailing address
1227 SE 73RD AVE, PORTLAND, OR 97215-2915
(503) 239-4869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00776
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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