Dr Gerald W Miller Md Pc

LBN: Dr Gerald W Miller Md Pc
Dr Gerald W Miller Md Pc is an health care organization with primary practice located at 1960 Nw 167Th Pl Suite 103, Beaverton OR 97006-4803. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Dr Gerald W Miller Md Pc can be contacted via phone (503) 466-1823, or through Miller, Gerald Wendall via phone (503) 466-1823.

Contact Information

Primary practice address
1960 Nw 167Th Pl Suite 103 Beaverton OR 97006-4803
Phone: (503) 466-1823
Fax: (503) 466-2045
Website:
Map and Directions
Authorized official contact:
Name: Miller, Gerald Wendall Doctor of Medicine (MD)
Phone: (503) 466-1823

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X MD16819 Oregon

Profile Details

NPI number 1386971836
LBN Legal business name Dr Gerald W Miller Md Pc
DBA Doing business as
Authorized official Miller, Gerald Wendall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2009
Last updated Nov 4th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386971836 NPPES
Washington MEDICAID 8140758
Washington MEDICAID 021977

Popular Providers