Brian Mills PA-C

NPI 1235472861 - Physician Assistant - 363A00000X

NPI Details
NPI 1235472861
Gender Male
Enumeration Date 04/02/2013
Last Updated 11/05/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
891 23RD ST NE
SALEM OR, 97301-1793, US
Phone (503) 364-2181
Fax (503) 364-0364
Business Location
891 23RD ST NE
SALEM OR, 97301-1793, US
Phone (503) 364-2181
Fax (503) 364-0364
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA169475
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According to our database, Brian Mills PA-C NPI is 1235472861, taxonomy code is 363A00000X and license number is PA169475, license state is located at Oregon. Brian Mills PA-C physically located at 891 23rd St Ne, Salem OR, 97301-1793. NPI Number Brian Mills PA-C has the Individual type.

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1235472861 NPI number is provided on an as is basis without warranty of any kind. 1235472861 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Mills PA-C are for informational purposes only.