Gerald Wendal Miller M.D,

NPI 1083628556 - Family Medicine - 207Q00000X

NPI Details
NPI 1083628556
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1960 NW 167TH PLACE
SUITE 103
BEAVERTON OR, 97006, US
Phone (503) 466-1823
Fax (503) 466-1823
Business Location
1960 NW 167TH PLACE
SUITE 103
BEAVERTON OR, 97006, US
Phone (503) 466-1823
Fax (503) 466-1823
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number 16819
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According to our database, Dr. Gerald Wendal Miller M.D, NPI is 1083628556, taxonomy code is 207Q00000X and license number is 16819, license state is located at Oregon. Gerald Wendal Miller M.D, physically located at 1960 Nw 167th Place, Beaverton OR, 97006. NPI Number Gerald Wendal Miller M.D, has the Individual type.

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1083628556 NPI number is provided on an as is basis without warranty of any kind. 1083628556 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Wendal Miller M.D, are for informational purposes only.