Millan, Patricia Eden Fernandez

Millan, Patricia Eden Fernandez is an individual health care provider with primary practice located at 16770 Sw Edy Rd Suite 102, Sherwood OR 97140-9678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Millan, Patricia Eden Fernandez can be contacted via phone (503) 216-9600.

Contact Information

Primary practice address
16770 Sw Edy Rd Suite 102 Sherwood OR 97140-9678
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41622 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD170193 Oregon

Profile Details

NPI number 1285854844
LBN Legal business name Millan, Patricia Eden Fernandez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 19th, 2020 - about 6 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 1285854844 NPPES
Oregon MEDICAID 500678492
Oregon Other P014383736

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