Millan, Juan Carlos

Millan, Juan Carlos is an individual health care provider with primary practice located at 1225 Ne 2Nd Ave , Portland OR 97232-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Millan, Juan Carlos can be contacted via phone (503) 413-5049.

Contact Information

Primary practice address
1225 Ne 2Nd Ave Portland OR 97232-2003
Fax: (503) 413-5054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 15939 Oregon

Profile Details

NPI number 1346384849
LBN Legal business name Millan, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 1st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346384849 NPPES
Oregon MEDICAID 036645

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