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NPI Code Detail

MEDICARE: MS. SAMANTHA JOAN MILLER CNM

MEDICARE: MS. SAMANTHA JOAN MILLER CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAP60020309WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881687473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SAMANTHA JOAN MILLER CNM
Provider Business Mailing Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-397-3352
Fax Number : 360-397-3128
Provider Business Practice Location Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-397-1500
Fax Number : 360-604-1653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/31/2008

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