JACOB MILLER

PORTLAND, OR
NPI1902619778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10064246)
Enumeration Date2025-01-27
Last Update Date2026-07-21
Business Address
JACOB MILLER
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-804-1823
Mailing Address
JACOB MILLER
1805 NE HALSEY ST
PORTLAND, OR 97232-1439
Phone number: 503-804-1823
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