Individual
CARL E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-1636
Mailing address
PO BOX 5577, BEND, OR 97708-5577
(541) 388-1636
(541) 388-1719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA01146
OR
363A00000X
Physician Assistant
PA01146
OR
Other
Enumeration date
12/29/2006
Last updated
12/31/2020
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