Miller-Davis, Jennifer W

Miller-Davis, Jennifer W is an sole proprietor health care provider with primary practice located at 22400 Salamo Rd Suite 201, West Linn OR 97068-8269. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Miller-Davis, Jennifer W can be contacted via phone (503) 723-7234.

Contact Information

Primary practice address
22400 Salamo Rd Suite 201 West Linn OR 97068-8269
Phone: (503) 723-7234
Fax: (503) 650-4464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26751 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD26751 Oregon

Profile Details

NPI number 1508890179
LBN Legal business name Miller-Davis, Jennifer W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Mar 7th, 2023 - about 2 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 1508890179 NPPES
Oregon MEDICAID 240048

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