Mills, Michelle R

Mills, Michelle R is an individual health care provider with primary practice located at 815 Sw Bond St , Bend OR 97702-3593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mills, Michelle R can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
815 Sw Bond St Bend OR 97702-3593
Phone: (541) 382-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46554 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-1770 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD29395 Oregon

Profile Details

NPI number 1104972710
LBN Legal business name Mills, Michelle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 7th, 2021 - about 5 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 1104972710 NPPES
Oregon MEDICAID 500608725

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