MILLER FAMILY PEDIATRICS (NPI# 1780121764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121764 |
| Entity Type | Organization |
| Organization Name | MILLER FAMILY PEDIATRICS |
| Practice Address |
2632 E St Ste H Washougal WA 98671-1714 |
| Practice Telephone | 5593617109 |
| Mailing Telephone | 5593617109 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | SCOTT CHRISTOPHER MILLER (OWNER) |
| Authorized Official Telephone | 5593617109 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MILLER FAMILY PEDIATRICS, PC | 2632 E St Ste H, Washougal, WA 98671-1714 |
| Street Address |
2632 E ST STE H |
| City | WASHOUGAL |
| State | WA |
| Zip Code | 98671-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705315 | Scott C. Miller | Physician Assistant | 2632 E St Ste H, Washougal, WA 98671-1714 | 2007-08-10 |
| 1841763075 | Shelly Weber Miller | Registered Nurse | 2632 E St Ste H, Washougal, WA 98671-1714 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862829 | Christina Marie Renzema | Pharmacist | 3307 Se Evergreen Bldg 5, Safeway Pharmacy #1687, Washougal, WA 98671 | 2014-08-23 |
| 1801148606 | Kara Renee Gamboa | Speech-Language Pathologist | 1100 34th St., Washougal, WA 98671 | 2012-10-04 |
| 1922386242 | Alison Marie Eaton | Specialist | 918 9th Street, Washougal, WA 98671 | 2011-08-03 |
| 1821389453 | Robyn Dawn Hannah | Massage Therapist | 3256 F Place, Washougal, WA 98671 | 2011-04-30 |
| 1285923698 | Janine Rene' Troyer | Specialist | 1999 37th Street, Washougal, WA 98671 | 2011-04-06 |
| 1538312301 | Soncea Rae Moore | Massage Therapist | 2900 H Street Apt 16, Washougal, WA 98671 | 2008-10-24 |
| 1871743526 | Washougal Sport and Spine, Inc. | Clinic/Center | 1700 Main, Suite 222, Washougal, WA 98671 | 2008-09-30 |
| 1306027404 | Amanda Marie Michel | Massage Therapist | Gillespie Family Chiropractic, 3307 Evergreen Way Suite 601, Washougal, WA 98671 | 2007-11-16 |
| 1588854483 | Advanced Practice Geriatrics, LLC | Nurse Practitioner | 38324 Se Hidden Falls Road, Washougal, WA 98671 | 2007-07-26 |
| 1316147325 | Advanced Practice Geriatrics, Pllc | Nurse Practitioner | 38324 Se Hidden Falls Rd, Washougal, WA 98671 | 2007-07-19 |
| Find all providers in zip 98671 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255520987 | Sasha Alexandria Hull Ormand | Clinical Nurse Specialist | 1410 N Mullan Rd Ste 200, Spokane Valley, WA 99206-4046 | 2007-10-18 |
| 1154936508 | Brian Burns | Clinical Nurse Specialist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-12 |
| 1033267349 | Patricia Baines Schroeder | Clinical Nurse Specialist | 5112 Nw Taylor Rd, Bremerton, WA 98312-8837 | 2007-01-05 |
Please comment or provide details below to improve the information on MILLER FAMILY PEDIATRICS.
| 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.