Miller, Gayle Melinda

Miller, Gayle Melinda is an individual health care provider with primary practice located at 4610 Se Belmont St Suite 60, Portland OR 97215-1752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Miller, Gayle Melinda can be contacted via phone (503) 988-5303.

Contact Information

Primary practice address
4610 Se Belmont St Suite 60 Portland OR 97215-1752
Phone: (503) 988-5303
Fax: (503) 988-5112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 093007089N1 FNP Oregon

Profile Details

NPI number 1629010574
LBN Legal business name Miller, Gayle Melinda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629010574 NPPES
Oregon MEDICAID 150907

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