Miller, Roger W

Miller, Roger W is an sole proprietor health care provider with primary practice located at 2095 Exchange St Suite #201, Astoria OR 97103-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Miller, Roger W can be contacted via phone (503) 338-4455.

Contact Information

Primary practice address
2095 Exchange St Suite #201 Astoria OR 97103-3417
Phone: (503) 338-4455
Fax: (503) 338-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD24790 Oregon

Profile Details

NPI number 1780688523
LBN Legal business name Miller, Roger W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated May 4th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780688523 NPPES
Washington MEDICAID 1119841
Washington MEDICAID 233147

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