DR GERALD W MILLER MD PC (NPI# 1386971836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386971836 |
Entity Type | Organization |
Organization Name | DR GERALD W MILLER MD PC |
Practice Address |
1960 Nw 167th Pl Suite 103 Beaverton OR 97006-4803 |
Practice Telephone | 5034661823 |
Practice Fax Number | 5034662045 |
Mailing Telephone | 5034661823 |
Mailing Fax Number | 5034662045 |
Enumeration Date | 2009-11-04 |
Last Update Date | 2009-11-04 |
Authorized Official Name | DR. GERALD WENDALL MILLER (CEO) |
Authorized Official Telephone | 5034661823 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MD16819 | OR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 021977 | 05 | |
WA | 8140758 | 05 |
Street Address |
1960 NW 167TH PL SUITE 103 |
City | BEAVERTON |
State | OR |
Zip Code | 97006-4803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407840499 | Gale A Rydell | Pediatrics | 1960 Nw 167th Pl, Ste 100, Beaverton, OR 97006 | 2005-09-06 |
1437561768 | Christine Shrader | Physical Therapist | 1960 Nw 167th Pl, Ste 200, Beaverton, OR 97006-4803 | 2014-05-21 |
1649610759 | Rebecca Dobler | Physical Therapist | 1960 Nw 167th Pl, Beaverton, OR 97006-4803 | 2013-07-03 |
1013217082 | Todd E Williams | Hearing Instrument Specialist | 1960 Nw 167th Pl, 203, Beaverton, OR 97006-4803 | 2010-10-25 |
1770892424 | At Healthcare Holdings Inc. | Hearing Instrument Specialist | 1960 Nw 167th Pl, Ste. 203, Beaverton, OR 97006-4803 | 2010-09-29 |
1336457308 | Michael Palensky | Audiologist-Hearing Aid Fitter | 1960 Nw 167th Pl, Ste. 203, Beaverton, OR 97006-4803 | 2010-09-23 |
1154659209 | Thomas W Lyttle | Physical Therapist | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4803 | 2009-12-01 |
1083701833 | Edmund Howard Torkelson | Internal Medicine | 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006-4803 | 2006-10-05 |
1235222514 | Keith E Miller | Family Medicine | 1960 Nw 167th Pl, Suite 100, Beaverton, OR 97006-4803 | 2006-10-01 |
1134100498 | Patrick A Ambiel | Physician Assistant | 1960 Nw 167th Pl, Beaverton, OR 97006-4804 | 2005-11-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
Find all providers in zip 97006 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730518754 | Rebecca Berzow Nd | Clinic/Center | 15455 Nw Greenbrier Pkwy Ste 100, Beaverton, OR 97006-7357 | 2013-11-12 |
1770769424 | Adapt Training | Clinic/Center | 9923 Sw Arctic Dr, Beaverton, OR 97005-4194 | 2008-01-11 |
1659327799 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 14195 Sw Millikan Way, Beaverton, OR 97005-2307 | 2006-05-26 |
1962799353 | Sara Wood, Nd LLC | Clinic/Center | 4085 Sw 109th Ave, Suite 200, Beaverton, OR 97005-3000 | 2011-07-06 |
1063738185 | Hazelden Beaverton | Clinic/Center | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006 | 2010-04-14 |
1407882772 | Northwest Occupational Medicine Center Inc. | Clinic/Center | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-06-25 |
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1972113306 | Harney District Hospital | Clinic/Center | 271 N Egan Ave, Burns, OR 97720-1733 | 2020-07-31 |
1922583616 | Wvp Medical Group, LLC | Clinic/Center | 2995 Ryan Dr Se Ste 200, Salem, OR 97301-5157 | 2018-09-27 |
1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
1942718457 | Mid-columbia Medical Center | Clinic/Center | 1815 E 19th St Ste 1, The Dalles, OR 97058-3385 | 2018-01-18 |
1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
1710402532 | Edge Medical Services Inc | Clinic/Center | 19800 Village Office Ct Ste 15, Bend, OR 97702-1872 | 2017-08-14 |
1699167239 | Community Wellness Center | Clinic/Center | 1995 8th Ave, West Linn, OR 97068-4604 | 2015-02-19 |
1659605707 | University Professional Services | Clinic/Center | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2009-09-22 |
1871632000 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1137 25th St Ne, Salem, OR 97301-1604 | 2007-02-05 |
1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.