Miller, Kristin
Miller, Kristin is an individual health care provider with primary practice located at 1701 Nw Hawthorne Ave Suite 201, Grants Pass OR 97526-1257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Kristin can be contacted via phone (541) 471-3455.Contact Information
Primary practice address
1701 Nw Hawthorne Ave Suite 201
Grants Pass OR 97526-1257
Phone: (541) 471-3455
Fax: (541) 471-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD21845 | Oregon |
Profile Details
| NPI number | 1740272285 |
|---|---|
| LBN Legal business name | Miller, Kristin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 23rd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740272285 | NPPES |
| Oregon | MEDICAID | 130289 |
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