Individual
GEORGE E MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3051 S 6TH ST, KLAMATH FALLS, OR 97603
(541) 884-1865
Mailing address
3051 S 6TH ST, KLAMATH FALLS, OR 97603-4609
(541) 884-1865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3912
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007334004
BLUE CROSS
—
05
—
182194
—
OR
01
—
A007
TRICARE
—
Enumeration date
12/13/2006
Last updated
07/19/2018
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