Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD 18173 | OR |
NPI | 1033192760 |
---|---|
Provider Name | Dr. Christopher George Miller |
First Address | Eugene, OR 97401-7918 |
Second Address | Eugene, OR 97401-7918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 06/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056676 | (05) | OR |
F55314 | (02) |