Miller, Eden M.

Miller, Eden M. is an individual health care provider with primary practice located at 185 Sw Shevlin Hixon Dr Ste 111 , Bend OR 97702-3263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Eden M. can be contacted via phone (541) 388-6789.

Contact Information

Primary practice address
185 Sw Shevlin Hixon Dr Ste 111 Bend OR 97702-3263
Fax: (541) 388-8504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D022452 Oregon

Profile Details

NPI number 1114997988
LBN Legal business name Miller, Eden M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 17th, 2021 - about 3 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 1114997988 NPPES
Oregon MEDICAID 287687

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